CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Bertrand Chaffee Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$248

about 0.7× the $356 Medicare rate · typically $223–$383

modeled estimate · not a bill or quote

What this hospital charges insurers

$222

Below the fair price — a good deal

about $26 under the fair price · 0.6× Medicare

Medicare pays $356 Fair price $248 This hospital $222 Cash price $242 Hospital's list price $285

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 $222

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 $248 (about 0.7× the $356 Medicare rate). Bertrand Chaffee Hospital charges insurers about $222, or about $242 in cash — below the fair price — a good deal. Located in Springville, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	18%
Blue Cross Blue Shieldmajor	$222 - $244	62%
Aetnamajor	$120 - $450	34%
Cignamajor	$120 - $450	34%
Fidelis Care	$65 - $245	18%
Molina	$65	18%
MVP Health Care	$120 - $450	34%
+ 26 smaller / regional plans	$65 - $453

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 242), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Bertrand Chaffee Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Bertrand Chaffee Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.