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

How we calculate the fair BaseRate →

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%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 181 Corliss Lane, Colebrook, NH 03576
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals