CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Margaretville Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$408

about 1.1× the $356 Medicare rate · typically $143–$1,143

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,137

Well above the fair price

about $729 over the fair price · 3.2× Medicare

Medicare pays $356 Fair price $408 This hospital $1,137 Cash price $2,713 Hospital's list price $2,713

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 $93 Priciest $1,137

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 (with contrast) is about $408 (about 1.1× the $356 Medicare rate). Margaretville Memorial Hospital charges insurers about $1,137, or about $2,713 in cash — well above the fair price. Located in Margaretville, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $408. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$611 - $1,194	171%
Blue Cross Blue Shieldmajor	$1,194 - $1,790	335%
Aetnamajor	$679 - $2,713	191%
CDPHP	$1,313	368%
MagnaCare	$1,899 - $2,170	533%
Molina	$1,253	352%
MVP Health Care	$944 - $1,763	265%
+ 7 smaller / regional plans	$611 - $2,170

Government programs also on file: Medicare.

Excludes 4 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 (about 2,713), 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: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Margaretville Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
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 Margaretville Memorial Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other NY hospitals

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