CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mercy Hospital of Buffalo

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$177

about 0.7× the $244 Medicare rate · typically $123–$203

modeled estimate · not a bill or quote

What this hospital charges insurers

$196

About the fair price

about $19 over the fair price · 0.8× Medicare

Medicare pays $244 Fair price $177 This hospital $196 Cash price $194 Hospital's list price $476

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 $196

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 $177 (about 0.7× the $244 Medicare rate). Mercy Hospital of Buffalo charges insurers about $196, or about $194 in cash — about the fair price. Located in Buffalo, 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	$42 - $189	17%
Blue Cross Blue Shieldmajor	$94 - $310	39%
Aetnamajor	$180 - $189	74%
Cignamajor	$180 - $261	74%
Humanamajor	$180 - $189	74%
Amerigroup	$102 - $310	42%
Fidelis Care	$94 - $216	39%
Independent Health	$130 - $624	53%
MagnaCare	$180	74%
Molina	$94 - $384	39%
MVP Health Care	$243	100%
UPMC Health Plan	$309 - $324	127%
WellCare	$186 - $198	76%
+ 16 smaller / regional plans	$50 - $588

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

Excludes 1 rental-network / third-party entry (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 (about 194), 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 Mercy Hospital of Buffalo 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 Mercy Hospital of Buffalo

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

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