CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Geneva General Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $297
Cash Discount Price: $626
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Geneva General Hospital is $297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $626. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.83x the Medicare baseline. Located in 196 -198 North Street, Geneva, NY.

Cash / Self-Pay

$626

Average discount available for prompt cash payment at this facility.

Insurance Median

$297

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: $626 (176%)

Insurance Median: $297 (83%)

Cash: $626 (176% of Medicare)

Ins. Median: $297 (83% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$83 - $1,268	23%
Blue Cross Blue Shield	$83 - $657	23%
Excellus Blue Choice	$83 - $382	23%
Mvp Health Care	$83 - $766	23%
UnitedHealthcare	$83 - $423	23%
Wellcare	$87 - $423	24%
Emblem Group Health Incorporated	$91 - $1,331	26%
Fidelis	$91 - $465	26%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $626.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Geneva General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.