CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: St Catherine of Siena Hospital
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $286
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at St Catherine of Siena Hospital is $286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.17x the Medicare baseline. Located in 50 Route 25A, Smithtown, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$286
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%)
Insurance Median: $286 (117%)
Ins. Median: $286 (117% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Affinity Health Plan | $69 - $156 | 28% |
| Beacon Health Options | $69 - $400 | 28% |
| Beacon Health Strategies | $69 - $400 | 28% |
| Centerlight Healthcare | $69 - $286 | 28% |
| Elderplan Inc. | $69 - $286 | 28% |
| Emblem Health | $69 - $644 | 28% |
| Fidelis Care New York | $69 - $286 | 28% |
| Health First | $69 - $644 | 28% |
| Health Plus | $69 - $286 | 28% |
| Independent Health | $69 - $286 | 28% |
| Medicaid / KanCare | $69 | 28% |
| Mvp Health Plans | $69 - $1,365 | 28% |
| Senior Whole Health | $69 - $286 | 28% |
| UnitedHealthcare | $69 - $518 | 28% |
| Self Pay | $250 | 103% |
| Blue Cross Blue Shield | $280 - $416 | 115% |
| Aetna | $286 - $2,331 | 117% |
| Centers Plan For Healthy Living | $286 | 117% |
| Healthspring | $286 | 117% |
| Liberty Health | $286 | 117% |
| Longevity Health Plan | $286 | 117% |
| Medicare (plans) | $286 - $300 | 117% |
| Orthonet - Uniformed Services Family Health Plan | $286 | 117% |
| Pmc | $286 | 117% |
| Tricare | $286 | 117% |
| Universal Healthcare | $286 | 117% |
| Us Family Health Plan | $286 | 117% |
| Veterans Affairs | $286 | 117% |
| Humana | $292 | 120% |
| Agewell New York | $296 | 121% |
| Partners Health Plan | $300 | 123% |
| Wellcare Health Plan Inc | $315 | 129% |
| Zadroga | $350 | 144% |
| Surest | $518 | 212% |
| Brighton | $598 - $2,416 | 245% |
| American Plan Administrators | $644 | 264% |
| Amerihealth Administrators | $644 | 264% |
| Benefit Services | $644 | 264% |
| Ghi Cbp Ny City Employee Alternate | $644 | 264% |
| International Benefit Administrator | $644 | 264% |
| Ultra Benefits Inc. | $644 | 264% |
| Local 1199 | $664 | 272% |
| Apwu | $1,365 | 560% |
| Centivo | $1,365 - $1,835 | 560% |
| Cigna | $1,365 - $2,243 | 560% |
| Daniel H Cook | $1,365 | 560% |
| Nalc | $1,365 | 560% |
| Samba | $1,365 | 560% |
| Oscar Health | $1,415 | 580% |
| Allied Wellfare Fund | $2,243 | 920% |
| American Group Administrators | $2,243 | 920% |
| Bakery & Confectionery Union | $2,243 | 920% |
| Comprehensive Benefits Consultant | $2,243 | 920% |
| Guardian Life Insurance Company Of America | $2,243 | 920% |
| Maloney And Assoc | $2,243 | 920% |
| Multiplan | $2,243 | 920% |
| Performax | $2,243 | 920% |
| Phcs | $2,243 | 920% |
| Pomco | $2,243 | 920% |
| Tpa Inc | $2,243 | 920% |
| Unicare | $2,243 | 920% |
| United Employees Health Plan | $2,243 | 920% |
| Mail Handlers Benefit Plan | $2,331 | 956% |
| Meritain Health | $2,331 | 956% |
| Nippon Life Insurance Company Of America | $2,331 | 956% |
| Salvation Army | $2,331 | 956% |
| Coventry | $2,554 - $2,761 | 1048% |
| Magellan | $2,761 | 1133% |
| Galaxy | $3,106 | 1274% |
| Three Rivers Provider Network | $3,106 | 1274% |
| Aither Health | $3,451 | 1416% |
| Alpha Care | $3,451 | 1416% |
| Dentaquest | $3,451 | 1416% |