CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: UPMC Kane

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$384

about 1.1× the $356 Medicare rate · typically $216–$781

modeled estimate · not a bill or quote

What this hospital charges insurers

$475

Above the fair price

about $91 over the fair price · 1.3× Medicare

Medicare pays $356 Fair price $384 This hospital $475 Cash price $739 Hospital's list price $1,231

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $216 Priciest $475

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $384 (about 1.1× the $356 Medicare rate). UPMC Kane charges insurers about $475, or about $739 in cash — above the fair price. Located in Kane, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $384. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$303 - $701	85%
Blue Cross Blue Shieldmajor	$390 - $1,160	109%
Aetnamajor	$289 - $474	81%
Cignamajor	$862 - $27,712	242%
AmeriHealth	$411 - $492	115%
Geisinger	$366	103%
UPMC Health Plan	$289 - $2,910	81%
+ 5 smaller / regional plans	$448 - $1,169

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 739), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm UPMC Kane is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UPMC Kane

Compare: CT scan, abdomen and pelvis (with contrast) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.