CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $417
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lehigh Valley Hospital - Macungie is $417. 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 1.17x the Medicare baseline. Located in 3369 State Route 100, Macungie, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$417

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: $417 (117%)
Ins. Median: $417 (117% 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
Geisinger $329 - $1,598 92%
Highmark Wholecare/Gateway $334 94%
Jefferson Health Partners $355 - $727 100%
Pa Health & Wellness $355 100%
Blue Cross Blue Shield $364 - $1,344 102%
Highmark Blue Shield $367 - $978 103%
Humana $367 103%
Amerihealth $375 105%
Cigna $375 - $1,064 105%
Aetna $382 - $1,815 107%
Amerihealth Caritas $382 107%
Upmc $385 - $1,771 108%
Gateway $389 109%
Emblem $393 - $1,622 110%
Pa Health & Wellness (Allwell) $400 112%
Ambetter / Centene $1,103 309%
Valley Preferred $2,120 595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals