CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Saratoga Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $88
  • Cash Discount Price: $3,174
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Saratoga Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,174. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.36x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$3,174

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $3,174 (1302%)
Insurance Median: $88 (36%)
Cash: $3,174 (1302% of Medicare)
Ins. Median: $88 (36% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cdphp $53 - $980 22%
Blue Cross Blue Shield $58 - $3,808 24%
Fidelis $58 - $980 24%
Medicare (plans) $58 - $78 24%
Mvp Commercial $65 - $4,443 27%
Tricare $66 - $78 27%
Hamaspik $72 - $1,023 30%
Medicaid / KanCare $73 30%
Emblem Health Ghi $78 - $85 32%
Mvp $78 - $148 32%
UnitedHealthcare $78 - $5,712 32%
Aetna $79 - $3,110 32%
Blue Shield Highmark $88 - $101 36%
Cigna $122 - $148 50%
Nascentia Health Options $257 105%
Emblem $264 - $286 108%
Blue Shield $280 - $630 115%
Mvp Essential Plan $436 - $871 179%
Mvp Govt Programs $436 179%
Empire Plan Nyship $4,443 1823%
Multiplan $4,760 - $5,395 1953%
Magnacare $5,712 - $6,030 2343%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals