CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Geisinger Jersey Shore Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $903
Cash Discount Price: $2,214
vs. Medicare Baseline: 2.53x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Geisinger Jersey Shore Hospital is $903. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,214. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.53x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$2,214

Average discount available for prompt cash payment at this facility.

Insurance Median

$903

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: $2,214 (621%)

Insurance Median: $903 (253%)

Cash: $2,214 (621% of Medicare)

Ins. Median: $903 (253% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 253% of the Medicare baseline (a markup of 153%). 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	$143	40%
Aetna	$143 - $1,085	40%
American Progressive	$143	40%
Medicare (plans)	$143	40%
Blue Cross Blue Shield	$144 - $2,118	40%
Humana	$144	40%
Medicaid / KanCare	$263	74%
Amerihealth	$289	81%
Geisinger Family Plan	$289	81%
Upmc For You	$309	87%
Health Partners	$316	89%
Upmc Chip	$329	92%
Ambetter / Centene	$343	96%
Prison Health Services	$424	119%
Geisinger Health Plan	$714 - $1,753	200%
Cigna	$990	278%
UnitedHealthcare	$1,586	445%
Christian Healthcare Ministries	$1,786	501%
Medical Development International	$2,500	701%
Integrated Health Plan	$2,678	751%
Prime Health Services	$2,678	751%
Multiplan	$2,857	802%

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 $2,214.
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 Geisinger Jersey Shore 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.