CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Cambridge Health Alliance

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,085
Cash Discount Price: $3,085
vs. Medicare Baseline: 12.66x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cambridge Health Alliance is $3,085. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,085. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.66x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.

Cash / Self-Pay

$3,085

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,085

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $3,085 (1266%)

Insurance Median: $3,085 (1266%)

Cash: $3,085 (1266% of Medicare)

Ins. Median: $3,085 (1266% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1266% of the Medicare baseline (a markup of 1166%). 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
Blue Cross Blue Shield	$285 - $3,085	117%
Aetna	$419 - $3,085	172%
Other Tufts Health Public Plan [75002]	$462	190%
Aarp [40001]	$529	217%
Oxford Health [40004]	$529	217%
United Medical Resource [40005]	$529	217%
UnitedHealthcare	$529 - $664	217%
Health Plans Inc [20002]	$664	272%
Hphc [20001]	$664	272%
Cigna	$742 - $3,085	304%
Tufts Health Plan [30001]	$742 - $924	304%
Mass General Brigham [50021]	$1,962	805%
Wellpoint [50012]	$2,005	822%
Multiplan [50010]	$2,098	861%
Altus Dental [99011]	$3,085	1266%
Beacon Health Strategies [50002]	$3,085	1266%
Cbhc Uninsured Crisis Alt Payer [70097]	$3,085	1266%
Cbhc Uninsured Crisis [70096]	$3,085	1266%
Celticare [50004]	$3,085	1266%
Commonwealth Care Alliance Dental [99004]	$3,085	1266%
Coverage Discovery [90004]	$3,085	1266%
Delta Dental Of Ma [99007]	$3,085	1266%
Dominion National Dental [99012]	$3,085	1266%
Dph Tb Payor [85004]	$3,085	1266%
Esp Dental [99003]	$3,085	1266%
Eyemed Alt Payor [13001]	$3,085	1266%
First Health [50007]	$3,085	1266%
Global Medical Management [50024]	$3,085	1266%
Government Employee Health Association [50023]	$3,085	1266%
Guardian Dental [99013]	$3,085	1266%
Health Safety Net Dental [99002]	$3,085	1266%
Humana	$3,085	1266%
Ma Laborers Health And Welfare Fund [50022]	$3,085	1266%
Magellan Health Services [65098]	$3,085	1266%
Mass Health Dental [99001]	$3,085	1266%
Medical Mutual Of Ohio [50019]	$3,085	1266%
Medicare (plans)	$3,085	1266%
Metlife Dental [99008]	$3,085	1266%
Modern Assistance Program [30098]	$3,085	1266%
Mva [90002]	$3,085	1266%
Neighborhood Health Plan [50011]	$3,085	1266%
Other Bh Payor [50014]	$3,085	1266%
Other Commercial Payor [50015]	$3,085	1266%
Other Dental Payor [99014]	$3,085	1266%
Other Dual Eligible Payer [65004]	$3,085	1266%
Other Gov'T Alt [85006]	$3,085	1266%
Other Vision Payor [50013]	$3,085	1266%
Ri Neighborhood Health Plan [50017]	$3,085	1266%
Tricare	$3,085	1266%

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 $3,085.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cambridge Health Alliance is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.