CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: UPMC Muncy

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,773
Cash Discount Price: $3,320
vs. Medicare Baseline: 11.38x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at UPMC Muncy is $2,773. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,320. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.38x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$3,320

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,773

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: $3,320 (1362%)

Insurance Median: $2,773 (1138%)

Cash: $3,320 (1362% of Medicare)

Ins. Median: $2,773 (1138% 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 1138% of the Medicare baseline (a markup of 1038%). 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
UnitedHealthcare	$129 - $3,785	53%
Geisinger	$185 - $3,708	76%
Upmc Health Plan	$185 - $2,413	76%
Highmark Wholecare (Prev Gateway)	$188 - $830	77%
Amerihealth Caritas	$190 - $2,208	78%
Pa Health & Wellness	$287 - $2,316	118%
Upmc Work Partners	$321	132%
Three Rivers Provider Network	$343 - $4,981	141%
Cigna	$872 - $3,791	358%
Blue Cross Blue Shield	$2,170 - $2,556	890%
Aetna	$2,244 - $3,652	921%
Coventry/First Health	$2,773 - $3,724	1138%
Wirerope Works	$3,077	1262%
Multiplan	$4,317 - $5,257	1771%
America'S Choice	$4,427	1816%
Intergroup	$4,427	1816%

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 $3,320.
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 UPMC Muncy 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.