CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Albany Medical Center Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $242
  • Cash Discount Price: $253
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Albany Medical Center Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.68x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$253

Average discount available for prompt cash payment at this facility.

Insurance Median
$242

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $253 (71%)
Insurance Median: $242 (68%)
Cash: $253 (71% of Medicare)
Ins. Median: $242 (68% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 $55 - $974 15%
Blue Cross Blue Shield $61 - $974 17%
Medicare (plans) $61 - $326 17%
Fidelis $64 - $974 18%
Tricare $69 - $284 19%
Hamaspik $76 - $1,017 21%
Medicaid / KanCare $76 - $292 21%
Blue Shield Highmark $79 - $1,219 22%
Mvp $82 - $541 23%
UnitedHealthcare $82 - $3,385 23%
Aetna $85 - $918 24%
Emblem Health Ghi $90 - $625 25%
Nascentia $90 - $313 25%
Cigna $128 - $541 36%
Empire Plan Nyship $163 - $3,385 46%
Multiplan $173 - $3,596 49%
Nys Department Of Corrections $202 - $688 57%
Blue Shield $204 - $579 57%
Nascentia Health Options $436 122%
Emblem $448 - $738 126%
Emblem_Ghi $738 207%
Mvp Commercial $747 210%
Mvp Essential Plan $931 261%
Magnacare $4,998 1402%

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