CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saratoga Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $93
  • Cash Discount Price: $4,024
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saratoga Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,024. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.26x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$4,024

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $4,024 (1129%)
Insurance Median: $93 (26%)
Cash: $4,024 (1129% of Medicare)
Ins. Median: $93 (26% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 $55 - $980 15%
Blue Cross Blue Shield $61 - $4,829 17%
Fidelis $61 - $980 17%
Medicare (plans) $61 - $82 17%
Mvp Commercial $65 - $5,634 18%
Tricare $69 - $81 19%
Hamaspik $76 - $1,023 21%
Medicaid / KanCare $76 21%
Emblem Health Ghi $82 - $90 23%
Mvp $82 - $155 23%
UnitedHealthcare $82 - $7,243 23%
Aetna $83 - $3,944 23%
Blue Shield Highmark $92 - $106 26%
Cigna $128 - $155 36%
Blue Shield $294 - $1,049 82%
Emblem $423 - $448 119%
Mvp Essential Plan $436 - $871 122%
Mvp Govt Programs $436 122%
Nascentia Health Options $436 122%
Empire Plan Nyship $5,634 1581%
Multiplan $6,036 - $6,841 1693%
Magnacare $7,243 - $7,646 2032%

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