CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Columbia Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $94
Cash Discount Price: $595
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Columbia Memorial Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $595. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.26x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$595

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $595 (167%)

Insurance Median: $94 (26%)

Cash: $595 (167% of Medicare)

Ins. Median: $94 (26% 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
UnitedHealthcare	$36 - $607	10%
Mvp	$63 - $909	18%
Cdphp	$65 - $974	18%
Medicare (plans)	$67 - $89	19%
Blue Cross Blue Shield	$76 - $801	21%
Medicaid / KanCare	$76 - $433	21%
Tricare	$76 - $89	21%
Hamaspik	$84 - $589	24%
Emblem Health Ghi	$85	24%
Fidelis	$85 - $974	24%
Aetna	$92 - $892	26%
Blue Shield Highmark	$96 - $103	27%
Cigna	$118 - $122	33%
Emblem	$448 - $746	126%
Empire Plan Nyship	$522	146%
Magnacare	$597	167%
Blue Shield	$614 - $653	172%
Herrington Diversified Pdh	$634	178%
Mvp Commercial	$882	247%
Multiplan	$1,860	522%

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 $595.
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 Columbia Memorial 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.