CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Grove City Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $280
Cash Discount Price: $3,788
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Grove City Medical Center is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,788. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.79x the Medicare baseline. Located in 631 North Broad Street Ext., Grove City, PA.

Cash / Self-Pay

$3,788

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $3,788 (1063%)

Insurance Median: $280 (79%)

Cash: $3,788 (1063% of Medicare)

Ins. Median: $280 (79% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Univera	$71 - $366	20%
Amerihealth	$74 - $434	21%
Pennsylvania Health And Wellness	$93 - $395	26%
Highmark	$99 - $710	28%
Geisinger	$102 - $421	29%
UnitedHealthcare	$102 - $1,041	29%
Cigna	$137 - $801	38%
Aetna	$193 - $731	54%
University Of Pittsburgh Medical Center	$222 - $350	62%
Highmark Wholecare	$266 - $364	75%
American Health Plans	$344	97%
Life Pittsburgh	$344	97%
Medicare (plans)	$354	99%
Humana	$364	102%
Molina	$374	105%
Medical Mutual	$978	274%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,788.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grove City Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.