CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Upper Connecticut Valley Hospital
Billing Code: 74176 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$695
about 2.8× the $244 Medicare rate · typically $236–$2,016
modeled estimate · not a bill or quote
Medicare pays $244 Fair price $695 Cash price $2,463 Hospital's list price $4,437
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $3,686 - $3,934 | 1512% |
| Harvard Pilgrim | $3,033 | 1244% |
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Other Procedures at Upper Connecticut Valley Hospital
Compare: CT scan, abdomen and pelvis (no contrast) at other NH hospitals
- New London Hospital · New London $110
- Cheshire Medical Center · Keene $243
- Wentworth-Douglass Hospital · Dover $256
- Mary Hitchcock Memorial Hospital · Lebanon $275
- Northeast Rehabilitation Hospital Network · Salem $280
- Elliot Hospital · Manchester $306
- Alice Peck Day Memorial Hospital · Lebanon $446
- Catholic Medical Center · Manchester $521
Insurance negotiated median for the same procedure, sorted lowest first.