CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: New London Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $220
Cash Discount Price: $1,248
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at New London Hospital is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,248. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.90x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$1,248

Average discount available for prompt cash payment at this facility.

Insurance Median

$220

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,248 (512%)

Insurance Median: $220 (90%)

Cash: $1,248 (512% of Medicare)

Ins. Median: $220 (90% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$80 - $2,163	33%
Martin'S Point Generations Advantage	$80 - $1,202	33%
Martin'S Point Health Care	$80 - $1,876	33%
UnitedHealthcare	$80 - $2,136	33%
Wellcare Health Plans	$82 - $1,202	34%
Wellsense Health Plan	$84 - $1,202	34%
Aetna	$92 - $2,360	38%
Harvard Pilgrim Health Care Of Ne	$94 - $1,948	39%
Granite State Health Plan	$99 - $1,378	41%
Amerihealth Caritas Nh	$100 - $1,392	41%
Ambetter / Centene	$104 - $1,202	43%
Cigna	$110 - $2,471	45%
Tufts Health Plan	$1,888 - $1,966	775%
Coventry	$2,581	1059%
Multiplan	$2,594	1064%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,248.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm New London Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.