CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Geisinger Jersey Shore Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $681
Cash Discount Price: $1,874
vs. Medicare Baseline: 2.79x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Geisinger Jersey Shore Hospital is $681. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,874. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.79x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$1,874

Average discount available for prompt cash payment at this facility.

Insurance Median

$681

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,874 (769%)

Insurance Median: $681 (279%)

Cash: $1,874 (769% of Medicare)

Ins. Median: $681 (279% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 279% of the Medicare baseline (a markup of 179%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Advantra	$97	40%
Aetna	$97 - $735	40%
American Progressive	$97	40%
Medicare (plans)	$97	40%
Blue Cross Blue Shield	$98 - $1,793	40%
Humana	$98	40%
Medicaid / KanCare	$168	69%
Amerihealth	$185	76%
Geisinger Family Plan	$185	76%
Upmc For You	$198	81%
Health Partners	$202	83%
Upmc Chip	$210	86%
Ambetter / Centene	$232	95%
Prison Health Services	$287	118%
Geisinger Health Plan	$605 - $1,484	248%
Cigna	$990	406%
UnitedHealthcare	$1,342	551%
Christian Healthcare Ministries	$1,512	620%
Medical Development International	$2,116	868%
Integrated Health Plan	$2,267	930%
Prime Health Services	$2,267	930%
Multiplan	$2,418	992%

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 $1,874.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Geisinger Jersey Shore Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.