CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Connecticut Childrens Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $935
Cash Discount Price: $1,534
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Connecticut Childrens Medical Center is $935. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,534. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.62x the Medicare baseline. Located in 282 Washington Street, Hartford, CT.

Cash / Self-Pay

$1,534

Average discount available for prompt cash payment at this facility.

Insurance Median

$935

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: $1,534 (430%)

Insurance Median: $935 (262%)

Cash: $1,534 (430% of Medicare)

Ins. Median: $935 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Connecticare [100105]	$585 - $2,174	164%
Emblem Health Commercial [1001108]	$585 - $2,174	164%
Medicaid / KanCare	$585 - $2,174	164%
UnitedHealthcare	$585 - $3,384	164%
Golden Rule [100106]	$586 - $3,384	164%
Harvard Pilgrim [1001134]	$586 - $3,384	164%
Oxford [100103]	$586 - $3,384	164%
Multiplan [1001126]	$792 - $3,425	222%
Blue Cross Blue Shield	$820 - $3,044	230%
Unicare [100148]	$820 - $3,044	230%
Wellpoint [100150]	$820 - $3,044	230%
Aetna	$821 - $3,388	230%
1199 National Benefit Fund [100134]	$912 - $3,388	256%
Government Employees Hospital Assoc [100115]	$912 - $3,388	256%
Humana	$912 - $3,388	256%
Meritain Health [100149]	$912 - $3,388	256%
Nippon Life Ins Co Of America [100112]	$912 - $3,388	256%
Yale Health Plan [100162]	$912 - $3,388	256%
Cdphp/Comm [100199]	$922 - $3,425	259%
Generic Multiplan [1001130]	$922 - $3,425	259%
Ultrabenefits/Comm [100181]	$922 - $3,425	259%

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 $1,534.
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 Connecticut Childrens Medical Center 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.