CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: New London Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$111

about 0.5× the $244 Medicare rate · typically $111–$301

modeled estimate · not a bill or quote

What this hospital charges insurers

$110

About the fair price

about $1 under the fair price · 0.5× Medicare

Medicare pays $244 Fair price $111 This hospital $110 Cash price $1,248 Hospital's list price $2,731

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Lowest price of the 9 NH hospitals we have prices for — a strong deal.

Cheapest $110 Priciest $652

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

⚠ 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 $111 (about 0.5× the $244 Medicare rate). New London Hospital charges insurers about $110, or about $1,248 in cash — about the fair price. Located in New London, NH.

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	$80 - $2,136	33%
Blue Cross Blue Shieldmajor	$80 - $2,163	33%
Aetnamajor	$92 - $2,581	38%
Cignamajor	$110 - $2,471	45%
Ambetter (Centene)	$104 - $1,202	43%
AmeriHealth	$100 - $1,392	41%
Harvard Pilgrim	$94 - $1,948	39%
Tufts Health Plan	$1,888 - $1,966	775%
WellCare	$82 - $1,202	34%
WellSense	$84 - $1,202	34%
+ 3 smaller / regional plans	$80 - $1,876

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,248), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm New London Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at New London Hospital

Compare: CT scan, abdomen and pelvis (no contrast) at other NH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.