CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Mary's Healthcare

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $453
  • Cash Discount Price: $2,838
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Mary's Healthcare is $453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,838. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.27x the Medicare baseline. Located in 427 Guy Park Avenue, Amsterdam, NY.
Cash / Self-Pay
$2,838

Average discount available for prompt cash payment at this facility.

Insurance Median
$453

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: $2,838 (796%)
Insurance Median: $453 (127%)
Cash: $2,838 (796% of Medicare)
Ins. Median: $453 (127% 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
Medicaid / KanCare $314 - $352 88%
UnitedHealthcare $314 88%
Medicare (plans) $435 - $488 122%
Tricare $435 122%
Va $435 122%
Highmark_Hmo_Pos $438 123%
Blue Cross Blue Shield $449 126%
Aetna $457 - $3,089 128%
Humana $457 128%
Cdphp_Commercial $603 169%
Carelon_Commercial $2,060 578%
Carelon_Empire $2,060 578%
Emblem_Commercial $2,883 809%
Excellus_Commercial $3,048 855%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 427 Guy Park Avenue, Amsterdam, NY 12010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals