CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Melrosewakefield Healthcare

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$496

about 1.4× the $356 Medicare rate · typically $391–$1,279

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,244

Well above the fair price

about $748 over the fair price · 3.5× Medicare

Medicare pays $356 Fair price $496 This hospital $1,244 Cash price $1,291 Hospital's list price $1,844

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $368 Priciest $1,244

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

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $496 (about 1.4× the $356 Medicare rate). Melrosewakefield Healthcare charges insurers about $1,244, or about $1,291 in cash — well above the fair price. Located in Melrose, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $496. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$386 - $1,948	108%
Blue Cross Blue Shieldmajor	$1,050 - $1,844	295%
Aetnamajor	$256 - $645	72%
Cignamajor	$922 - $1,285	259%
AmeriHealth	$645	181%
AvMed	$645	181%
GEHA	$645	181%
Harvard Pilgrim	$386	108%
Tufts Health Plan	$688 - $1,844	193%
WellSense	$1,844	517%
+ 109 smaller / regional plans	$386 - $1,844

Government programs also on file: Medicare, Medicaid.

Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,291), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Melrosewakefield Healthcare is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Melrosewakefield Healthcare

Compare: CT scan, abdomen and pelvis (with contrast) at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.