CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Good Samaritan Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$499
about 1.4× the $356 Medicare rate · typically $381–$908
modeled estimate · not a bill or quote
What this hospital charges insurers
$493
About the fair price
about $6 under the fair price · 1.4× Medicare
Medicare pays $356 Fair price $499 This hospital $493 Cash price $574 Hospital's list price $1,275

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 $493

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 $499 (about 1.4× the $356 Medicare rate). Good Samaritan Medical Center charges insurers about $493, or about $574 in cash — about the fair price. Located in Brockton, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $418 117%
Blue Cross Blue Shieldmajor $418 - $961 117%
Aetnamajor $418 - $758 117%
Cignamajor $765 - $1,282 215%
Humanamajor $418 117%
Harvard Pilgrim $678 190%
Tufts Health Plan $1,094 - $1,282 307%
UniCare $957 268%
+ 13 smaller / regional plans $395 - $738
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 235 North Pearl Street, Brockton, MA 02301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals