CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Upper Connecticut Valley Hospital
Billing Code: 74177 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$914
about 2.6× the $356 Medicare rate · typically $290–$2,616
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $914 Cash price $2,633 Hospital's list price $4,745
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 | $2,401 - $4,100 | 674% |
| Blue Cross Blue Shieldmajor | $3,942 - $4,207 | 1106% |
| Aetnamajor | $2,610 | 732% |
| Cignamajor | $3,843 | 1078% |
| Harvard Pilgrim | $3,580 | 1004% |
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Other Procedures at Upper Connecticut Valley Hospital
Compare: CT scan, abdomen and pelvis (with contrast) at other NH hospitals
- New London Hospital · New London $212
- Cheshire Medical Center · Keene $316
- Mary Hitchcock Memorial Hospital · Lebanon $318
- Wentworth-Douglass Hospital · Dover $379
- Northeast Rehabilitation Hospital Network · Salem $428
- Elliot Hospital · Manchester $448
- Alice Peck Day Memorial Hospital · Lebanon $958
- Catholic Medical Center · Manchester $1,070
Insurance negotiated median for the same procedure, sorted lowest first.