CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lehigh Valley Hospital - Dickson City

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $368
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lehigh Valley Hospital - Dickson City is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 330 Main Street, Dickson City, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$368

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%)
Insurance Median: $368 (103%)
Ins. Median: $368 (103% 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.

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 Caritas $289 81%
Geisinger $289 - $779 81%
Cigna $292 - $1,064 82%
UnitedHealthcare $303 - $1,382 85%
Highmark Wholecare/Gateway $334 94%
Aetna $342 - $1,905 96%
Highmark Blue Shield $350 - $1,460 98%
Amerihealth $354 99%
Jefferson Health Partners $355 - $361 100%
Pa Health & Wellness $355 100%
Devoted Health $364 102%
Humana $364 102%
Upmc $364 - $1,673 102%
Emblem $371 - $1,532 104%
Pa Health & Wellness (Allwell) $378 106%
Gateway $382 107%
Ambetter / Centene $1,042 292%
Valley Preferred $2,004 562%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 330 Main Street, Dickson City, PA 18519
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals