CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Children's Hospital of Philadelphia

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,491
Cash Discount Price: $7,445
vs. Medicare Baseline: 6.99x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Children's Hospital of Philadelphia is $2,491. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,445. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.99x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$7,445

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,491

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: $7,445 (2089%)

Insurance Median: $2,491 (699%)

Cash: $7,445 (2089% of Medicare)

Ins. Median: $2,491 (699% 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 699% of the Medicare baseline (a markup of 599%). 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
Geisinger Medical Assistance	$260	73%
Highmark Wholecare	$289	81%
Horizon Nj Health	$544	153%
Medicaid / KanCare	$1,228	345%
UnitedHealthcare	$1,236 - $1,299	347%
Health Partners	$1,403	394%
Geisinger Health Plan Commercial	$1,802	506%
Aetna	$1,960 - $3,723	550%
Upmc Medical Assistance	$2,033	570%
Keystone First Chip	$2,308	648%
Keystone Health Plan East	$2,354	660%
Blue Cross Blue Shield	$2,628 - $2,983	737%
Jefferson Health Plans	$3,522	988%
Cigna	$3,723	1045%
Highmark	$3,723	1045%
Qualcare	$4,095	1149%
First Health Network	$4,840	1358%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$5,956	1671%
Private Health Care Systems	$5,956	1671%
Choice Care Network	$6,701	1880%

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 $7,445.
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 Children's Hospital of Philadelphia 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.