CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Albany Medical Center Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $171
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Albany Medical Center Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.70x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $165 (68%)
Insurance Median: $171 (70%)
Cash: $165 (68% of Medicare)
Ins. Median: $171 (70% 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.

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
Cdphp $53 - $974 22%
Blue Cross Blue Shield $58 - $974 24%
Medicare (plans) $58 - $197 24%
Fidelis $61 - $974 25%
Tricare $66 - $174 27%
Hamaspik $72 - $1,017 30%
Medicaid / KanCare $73 - $171 30%
Blue Shield Highmark $75 - $743 31%
Mvp $78 - $433 32%
UnitedHealthcare $78 - $2,762 32%
Aetna $81 - $541 33%
Nascentia $85 - $191 35%
Emblem Health Ghi $86 - $382 35%
Blue Shield $108 - $459 44%
Cigna $122 - $332 50%
Empire Plan Nyship $156 - $2,762 64%
Multiplan $166 - $2,935 68%
Nys Department Of Corrections $193 - $433 79%
Nascentia Health Options $257 105%
Emblem $264 - $435 108%
Mvp Commercial $351 144%
Emblem_Ghi $435 178%
Mvp Essential Plan $931 382%
Magnacare $4,998 2050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals