CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Gaylord Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$187
about 0.8× the $244 Medicare rate · typically $164–$443
modeled estimate · not a bill or quote
What this hospital charges insurers
$194
About the fair price
about $7 over the fair price · 0.8× Medicare
Medicare pays $244 Fair price $187 This hospital $194 Cash price $759 Hospital's list price $1,167

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 6 of 8 other CT hospitals charge more for the same procedure.

Cheapest $159 Priciest $292

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $187 (about 0.8× the $244 Medicare rate). Gaylord Hospital charges insurers about $194, or about $759 in cash — about the fair price. Located in Wallingford, CT.

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 $83 - $962 34%
Blue Cross Blue Shieldmajor $83 - $971 34%
Aetnamajor $83 - $805 34%
Cignamajor $937 384%
Harvard Pilgrim $992 407%
+ 2 smaller / regional plans $83 - $1,062
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

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL