CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,428
Cash Discount Price: $6,929
vs. Medicare Baseline: 15.23x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at UPMC Children's Hospital of Pittsburgh is $5,428. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,929. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 15.23x the Medicare baseline. Located in One Children's Hospital Drive, Pittsburgh, PA.

Cash / Self-Pay

$6,929

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,428

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: $6,929 (1944%)

Insurance Median: $5,428 (1523%)

Cash: $6,929 (1944% of Medicare)

Ins. Median: $5,428 (1523% 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 1523% of the Medicare baseline (a markup of 1423%). 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
Aetna	$331 - $6,352	93%
Health Plan Of Upper Ohio Valley	$340 - $7,507	95%
Blue Cross Blue Shield	$361 - $5,774	101%
Amerihealth Caritas	$368 - $986	103%
Cigna	$368 - $6,352	103%
Upmc Health Plan	$607 - $4,904	170%
UnitedHealthcare	$765 - $5,428	215%
Health Partners Plans (Jefferson Health Plan)	$1,018	286%
Highmark Wholecare (Prev Gateway)	$1,062	298%
Pa Health & Wellness	$1,067	299%
Geisinger	$1,082 - $5,191	304%
Intergroup	$7,507 - $9,817	2106%
Coventry/First Health	$9,239	2592%
Saudi Armed Forces	$9,239	2592%
Health Payors Organization	$9,817	2754%
Multiplan	$9,817	2754%
National Provider Network	$10,394	2916%
Private Health Care Systems	$10,394	2916%

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 $6,929.
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 UPMC Children's Hospital of Pittsburgh 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.