CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Jones Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$238
about 1.0× the $244 Medicare rate · typically $187–$401
modeled estimate · not a bill or quote
What this hospital charges insurers
$216
About the fair price
about $22 under the fair price · 0.9× Medicare
Medicare pays $244 Fair price $238 This hospital $216 Cash price $459 Hospital's list price $918

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $69 Priciest $216

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $238 (about 1.0× the $244 Medicare rate). Jones Memorial Hospital charges insurers about $216, or about $459 in cash — about the fair price. Located in Wellsville, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $42 - $319 17%
Blue Cross Blue Shieldmajor $42 - $622 17%
Aetnamajor $338 - $553 139%
Cignamajor $780 320%
Humanamajor $319 131%
Fidelis Care $42 - $69 17%
Independent Health $417 171%
Molina $76 - $156 31%
MVP Health Care $183 - $753 75%
UPMC Health Plan $239 98%
+ 3 smaller / regional plans $42 - $565
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 191 North Main Street, Wellsville, NY 14895
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals