CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jones Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$361
about 1.0× the $356 Medicare rate · typically $287–$619
modeled estimate · not a bill or quote
What this hospital charges insurers
$326
About the fair price
about $35 under the fair price · 0.9× Medicare
Medicare pays $356 Fair price $361 This hospital $326 Cash price $680 Hospital's list price $1,359

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 $93 Priciest $326

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 (with contrast) is about $361 (about 1.0× the $356 Medicare rate). Jones Memorial Hospital charges insurers about $326, or about $680 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 $65 - $466 18%
Blue Cross Blue Shieldmajor $65 - $910 18%
Aetnamajor $494 - $1,166 139%
Cignamajor $1,140 320%
Humanamajor $466 131%
Fidelis Care $65 - $109 18%
Independent Health $698 196%
Molina $120 - $245 34%
MVP Health Care $288 - $1,101 81%
UPMC Health Plan $350 98%
+ 3 smaller / regional plans $65 - $826
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