CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Roxborough Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$387
about 1.1× the $356 Medicare rate · typically $340–$470
modeled estimate · not a bill or quote
What this hospital charges insurers
$392
About the fair price
about $5 over the fair price · 1.1× Medicare
Medicare pays $356 Fair price $387 This hospital $392 Cash price $356 Hospital's list price $5,818

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $216 Priciest $392

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $387 (about 1.1× the $356 Medicare rate). Roxborough Memorial Hospital charges insurers about $392, or about $356 in cash — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $218 - $745 61%
Blue Cross Blue Shieldmajor $357 - $848 100%
Cignamajor $843 237%
Humanamajor $285 80%
HealthPartners $193 - $535 54%
+ 7 smaller / regional plans $204 - $499
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5800 Ridge Ave, Philadelphia, PA 19128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals