CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Penn State Health Lancaster Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $351
Cash Discount Price: $518
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Penn State Health Lancaster Medical Center is $351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $518. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.98x the Medicare baseline. Located in 2160 State Road, Lancaster, PA.

Cash / Self-Pay

$518

Average discount available for prompt cash payment at this facility.

Insurance Median

$351

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: $518 (145%)

Insurance Median: $351 (98%)

Cash: $518 (145% of Medicare)

Ins. Median: $351 (98% 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 Caritas]	$291 - $342	82%
[Highmark Wholecare]	$291 - $342	82%
[Geisinger]	$308 - $1,190	86%
[Health Partners Plans]	$318 - $349	89%
[Pa Health & Wellness]	$320 - $353	90%
[Highmark]	$339 - $1,496	95%
UnitedHealthcare	$342 - $964	96%
[Cbc]	$342 - $899	96%
Aetna	$346 - $1,016	97%
Humana	$346	97%
[Healthspring]	$346	97%
[Upmc]	$349 - $1,320	98%
[Point Comfort Underwriters]	$428	120%
Cigna	$1,185	332%
[Highmark Choice Blue]	$1,197	336%
[Highmark Aca]	$1,257	353%
[First Health]	$1,429	401%
[Multiplan]	$1,429	401%

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 $518.
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 Penn State Health Lancaster 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.