CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Mary's General Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$490
about 1.4× the $356 Medicare rate · typically $419–$586
modeled estimate · not a bill or quote
What this hospital charges insurers
$552
About the fair price
about $62 over the fair price · 1.6× Medicare
Medicare pays $356 Fair price $490 This hospital $552 Cash price $412 Hospital's list price $5,307

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $151 Priciest $552

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

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $490 (about 1.4× the $356 Medicare rate). St Mary's General Hospital charges insurers about $552, or about $412 in cash — about the fair price. Located in Passaic, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $368 - $552 103%
Blue Cross Blue Shieldmajor $412 116%
Aetnamajor $412 - $874 116%
Cignamajor $606 170%
Humanamajor $330 93%
AmeriHealth $412 - $511 116%
Clover Health $412 116%
WellCare $412 - $557 116%
+ 4 smaller / regional plans $412 - $731
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 350 Boulevard, Passaic, NJ 07055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals