CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cambridge Health Alliance

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,825
  • Cash Discount Price: $3,825
  • vs. Medicare Baseline: 10.73x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cambridge Health Alliance is $3,825. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,825. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.73x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.
Cash / Self-Pay
$3,825

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,825

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: $3,825 (1073%)
Insurance Median: $3,825 (1073%)
Cash: $3,825 (1073% of Medicare)
Ins. Median: $3,825 (1073% 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 1073% of the Medicare baseline (a markup of 973%). 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
Blue Cross Blue Shield $477 - $3,825 134%
Other Tufts Health Public Plan [75002] $728 204%
Aetna $793 - $3,825 222%
Aarp [40001] $846 237%
Oxford Health [40004] $846 237%
United Medical Resource [40005] $846 237%
UnitedHealthcare $846 - $1,111 237%
Cigna $1,071 - $3,825 300%
Health Plans Inc [20002] $1,111 312%
Hphc [20001] $1,111 312%
Tufts Health Plan [30001] $1,188 - $1,456 333%
Mass General Brigham [50021] $2,433 683%
Wellpoint [50012] $2,486 697%
Multiplan [50010] $2,601 730%
Altus Dental [99011] $3,825 1073%
Beacon Health Strategies [50002] $3,825 1073%
Cbhc Uninsured Crisis Alt Payer [70097] $3,825 1073%
Cbhc Uninsured Crisis [70096] $3,825 1073%
Celticare [50004] $3,825 1073%
Commonwealth Care Alliance Dental [99004] $3,825 1073%
Coverage Discovery [90004] $3,825 1073%
Delta Dental Of Ma [99007] $3,825 1073%
Dominion National Dental [99012] $3,825 1073%
Dph Tb Payor [85004] $3,825 1073%
Esp Dental [99003] $3,825 1073%
Eyemed Alt Payor [13001] $3,825 1073%
First Health [50007] $3,825 1073%
Global Medical Management [50024] $3,825 1073%
Government Employee Health Association [50023] $3,825 1073%
Guardian Dental [99013] $3,825 1073%
Health Safety Net Dental [99002] $3,825 1073%
Humana $3,825 1073%
Ma Laborers Health And Welfare Fund [50022] $3,825 1073%
Magellan Health Services [65098] $3,825 1073%
Mass Health Dental [99001] $3,825 1073%
Medical Mutual Of Ohio [50019] $3,825 1073%
Medicare (plans) $3,825 1073%
Metlife Dental [99008] $3,825 1073%
Modern Assistance Program [30098] $3,825 1073%
Mva [90002] $3,825 1073%
Neighborhood Health Plan [50011] $3,825 1073%
Other Bh Payor [50014] $3,825 1073%
Other Commercial Payor [50015] $3,825 1073%
Other Dental Payor [99014] $3,825 1073%
Other Dual Eligible Payer [65004] $3,825 1073%
Other Gov'T Alt [85006] $3,825 1073%
Other Vision Payor [50013] $3,825 1073%
Ri Neighborhood Health Plan [50017] $3,825 1073%
Tricare $3,825 1073%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals