CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Columbia Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $89
Cash Discount Price: $508
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Columbia Memorial Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $508. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.37x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$508

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $508 (208%)

Insurance Median: $89 (37%)

Cash: $508 (208% of Medicare)

Ins. Median: $89 (37% 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.

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
UnitedHealthcare	$34 - $371	14%
Mvp	$59 - $909	24%
Cdphp	$62 - $974	25%
Medicare (plans)	$64 - $85	26%
Blue Cross Blue Shield	$72 - $801	30%
Tricare	$72 - $85	30%
Medicaid / KanCare	$73 - $433	30%
Hamaspik	$79 - $589	32%
Emblem Health Ghi	$80	33%
Fidelis	$80 - $974	33%
Aetna	$87 - $526	36%
Blue Shield Highmark	$92 - $98	38%
Cigna	$113 - $117	46%
Emblem	$264 - $440	108%
Empire Plan Nyship	$269	110%
Blue Shield	$333 - $416	137%
Magnacare	$352	144%
Mvp Commercial	$414	170%
Herrington Diversified Pdh	$429	176%
Multiplan	$1,558	639%

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 $508.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Columbia Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.