CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Ahn Wexford Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $316
Cash Discount Price: $3,640
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Ahn Wexford Hospital is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,640. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.89x the Medicare baseline. Located in 12351 Perry Highway, Wexford, PA.

Cash / Self-Pay

$3,640

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $3,640 (1021%)

Insurance Median: $316 (89%)

Cash: $3,640 (1021% of Medicare)

Ins. Median: $316 (89% 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
Amerihealth	$74 - $434	21%
Pennsylvania Health And Wellness	$93 - $395	26%
Highmark	$99 - $684	28%
Geisinger	$102 - $421	29%
UnitedHealthcare	$102 - $1,141	29%
Cigna	$137 - $801	38%
Highmark Wholecare	$266 - $364	75%
American Health Plans	$344	97%
Life Pittsburgh	$344	97%
Martin'S Point	$344	97%
Medicare (plans)	$354	99%
Aetna	$357 - $1,044	100%
Humana	$364	102%
Molina	$374	105%
Medical Mutual	$1,140	320%

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 $3,640.
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 Ahn Wexford Hospital 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.