CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Speare Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$878
about 3.6× the $244 Medicare rate · typically $196–$1,856
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,008
About the fair price
about $130 over the fair price · 4.1× Medicare
Medicare pays $244 Fair price $878 This hospital $1,008 Cash price $1,703 Hospital's list price $2,747

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Highest price of the 9 NH hospitals we have prices for — worth calling around.

Cheapest $110 Priciest $1,008

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

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $878 (about 3.6× the $244 Medicare rate). Speare Memorial Hospital charges insurers about $1,008, or about $1,703 in cash — about the fair price. Located in Plymouth, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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 $1,008 - $1,282 414%
Cignamajor $490 201%

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Facility Profile & Credentials

  • Address: 16 Hospital Road, Plymouth, NH 03264
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals