CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: St Charles Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$286

about 1.2× the $244 Medicare rate · typically $203–$387

modeled estimate · not a bill or quote

What this hospital charges insurers

$286

About the fair price

1.2× Medicare

Medicare pays $244 Fair price $286 This hospital $286 Hospital's list price $3,451

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 $286

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 (no contrast) is about $286 (about 1.2× the $244 Medicare rate). St Charles Hospital charges insurers about $286 — about the fair price. Located in Port Jefferson, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$69 - $2,243	28%
Blue Cross Blue Shieldmajor	$280 - $416	115%
Aetnamajor	$286 - $2,933	117%
Cignamajor	$1,365 - $2,243	560%
Humanamajor	$292	120%
AmeriHealth	$644	264%
Cigna HealthSpring	$286	117%
Fidelis Care	$69 - $286	28%
Independent Health	$69 - $286	28%
MVP Health Care	$69 - $1,365	28%
Oscar Health	$1,415	580%
UniCare	$2,243	920%
WellCare	$315	129%
+ 44 smaller / regional plans	$69 - $3,451

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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, 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: 74176.

Insurance Before you use insurance

Call your insurance company to confirm St Charles Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
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 St Charles Hospital

Compare: CT scan, abdomen and pelvis (no contrast) at other NY hospitals

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