CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$293
about 1.2× the $244 Medicare rate · typically $201–$505
modeled estimate · not a bill or quote
What this hospital charges insurers
$696
Well above the fair price
about $403 over the fair price · 2.9× Medicare
Medicare pays $244 Fair price $293 This hospital $696 Cash price $4,342 Hospital's list price $4,342

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 $696

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $293 (about 1.2× the $244 Medicare rate). Good Samaritan Hospital of Suffern charges insurers about $696, or about $4,342 in cash — well above the fair price. Located in Suffern, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $293. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $2,532 - $2,979 1039%
Blue Cross Blue Shieldmajor $915 - $5,649 375%
Aetnamajor $347 - $387 142%
Cignamajor $416 171%
CDPHP $2,171 891%
Geisinger $978 401%
MagnaCare $3,039 - $3,908 1247%
Molina $311 128%
MVP Health Care $296 - $48,731 121%
+ 8 smaller / regional plans $253 - $3,474
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 255 Lafayette Avenue, Suffern, NY 10901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals