CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint Mary's Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $878
  • Cash Discount Price: $1,494
  • vs. Medicare Baseline: 2.46x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saint Mary's Hospital is $878. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,494. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.46x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$1,494

Average discount available for prompt cash payment at this facility.

Insurance Median
$878

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: $1,494 (419%)
Insurance Median: $878 (246%)
Cash: $1,494 (419% of Medicare)
Ins. Median: $878 (246% 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 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Allegiance $338 95%
Cigna $338 - $2,110 95%
Health Partners $338 95%
Magnacare $338 95%
Connecticut Dept of Correction $386 108%
Aetna $410 - $602 115%
Blue Cross Blue Shield $410 - $1,240 115%
Medicare (plans) $410 - $427 115%
UnitedHealthcare $410 - $2,638 115%
Cca Senior Care Options $418 117%
1199 National Benefit Fund $602 169%
Allied Benefit Systems $602 169%
Gravie Admin Services $602 169%
Hap $602 169%
Luminare Health $602 169%
Meritain $602 169%
Nippon Life Ins $602 169%
Webtpa $602 169%
Geha $611 171%
Harvard Pilgrim Healthcare $611 171%
Centivo $836 235%
Claimdoc $878 246%
Diversified Administrators $878 246%
Innovative Health Plan II $878 246%
Connecticare $1,129 - $1,151 317%
Bcn Domestic $1,240 348%
Blue Benefit Administrators of Massachusetts $1,240 348%
Blue Care Network $1,240 348%
Blue Distinction Transplant $1,240 348%
Blue Shield - Ca $1,240 348%
Blue Shield - Id (Regence) $1,240 348%
Blue Shield - Ny Highmark Northeastern $1,240 348%
Blue Shield - Ny Highmark Western $1,240 348%
Blue Shield - PA (Highmark) $1,240 348%
Blue Shield - Wa (Regence) $1,240 348%
Health Choices $1,240 348%
Kaiser Domestic $1,240 348%
Pre-Employment $1,240 348%
Unicare $1,240 348%
Wc Domestic $1,240 348%
Wellpoint $1,240 348%
Carelon Behavioral Health $1,319 370%
Health New England $1,399 393%
Allied National Global Care $2,031 570%
Asrm - Reliance Standard Life Insurance $2,031 570%
Christian Care Ministry $2,031 570%
Dean Health $2,031 570%
Fallon Health $2,031 570%
Family Life Insurance Company $2,031 570%
Ghc Scw $2,031 570%
International Benefit Administrators $2,031 570%
Lifetime Benefit Solutions $2,031 570%
Manhattan Life $2,031 570%
Medi Share $2,031 570%
Multiplan $2,031 570%
Mvp $2,031 570%
PHCS $2,031 570%
Pai $2,031 570%
Pan-American Life $2,031 570%
Paramount HMO $2,031 570%
Trinity Health Share $2,031 570%
Prime Health Services $2,110 592%
Health Smart $2,242 629%
United Behavioral Health Eap $2,638 740%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals