CT scan, abdomen and pelvis (no contrast)
Facility: Northern Light Mercy Hospital
Billing Code: 74176 (CPT)
This hospital's typical commercial price is $181 compared to the $198 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.91× fair market pricing.
A typical price — 0 charge more and 5 charge less, among the 9 ME hospitals compared.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a CT scan, abdomen and pelvis (no contrast) is about $198 (about 0.8× the $244 Medicare rate). Northern Light Mercy Hospital charges insurers about $181, or about $729 in cash — about the fair price. Located in Portland, ME.
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
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 | $80 - $2,009 | 33% |
| Blue Cross Blue Shieldmajor | $79 - $1,823 | 32% |
| Aetnamajor | $100 - $2,137 | 41% |
| Cignamajor | $182 - $2,092 | 75% |
| WellCare | $80 - $241 | 33% |
| + 3 smaller / regional plans | $80 - $1,972 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Northern Light Mercy Hospital
Compare: CT scan, abdomen and pelvis (no contrast) at other ME hospitals
- Northern Light Mayo Hospital · Dover Foxcroft $94
- Northern Light Acadia Hospital · Bangor $114
- Northern Light Sebasticook Valley Hospital · Pittsfield $141
- Northern Light Blue Hill Memorial Hospital · Blue Hill $142
- Northern Light C A Dean Hospital · Greenville $142
- Northern Light A R Gould Hospital · Presque Isle $181
- Northern Light Eastern Maine Medical Center · Bangor $181
- Northern Light Maine Coast Hospital · Ellsworth $181
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Northern Light Mercy Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,018
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,018).
Self-Pay Cash Rate ($729) Beats Your Bill
Northern Light Mercy Hospital's published 45 CFR § 180 self-pay cash rate is $729 (vs. $181 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $198 Fair BaseRate ($244 Medicare)
Your bill ($2,804) is $2,606 above the denoised Fair BaseRate ($198) and 11.5× the $244 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.