CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$441
about 1.2× the $356 Medicare rate · typically $294–$717
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,430
Well above the fair price
about $989 over the fair price · 4.0× Medicare
Medicare pays $356 Fair price $441 This hospital $1,430 Cash price $7,115 Hospital's list price $7,115

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 $1,430

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 (with contrast) is about $441 (about 1.2× the $356 Medicare rate). Good Samaritan Hospital of Suffern charges insurers about $1,430, or about $7,115 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 $441. 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 - $2,979 710%
Blue Cross Blue Shieldmajor $1,745 - $10,773 490%
Aetnamajor $730 - $3,558 205%
Cignamajor $883 248%
CDPHP $3,558 998%
Geisinger $1,430 401%
MagnaCare $4,980 - $6,404 1397%
Molina $455 128%
MVP Health Care $433 - $71,998 121%
+ 8 smaller / regional plans $267 - $5,692
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.

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Facility Profile & Credentials

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