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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$376.34
Median
$603.32
Max
$2,491.89
Range multiplier
6.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield754$247.07$952.7$4,79619.4×
UnitedHealthcare746$166.74$452.91$4,07924.5×
institution [10406]430$418.11$423.28$4,79611.5×
Aetna525$387.09$1,765.95$6,192.5516.0×
Cigna721$221$423.28$4,015.9318.2×
correctional care [11003]316$418.11$420.7$4,015.939.6×
tufts [11201]314$589.12$1,178.24$1,296.152.2×
Medicaid412$418.11$1,002.98$2,504.326.0×
tufts connectorcare [10507]410$711.2$711.2$7201.0×
mgb mcr [10124]410$418.11$439.01$444.451.1×
wellpoint [11112]48$953.3$953.3$953.31.0×
senior whole health [10110]48$447.37$450.14$452.911.0×
CHAMPVA48$381.7$439.17$454.231.2×
tufts us family [11203]48$418.11$420.7$423.281.0×
hsno/free care [10801]48$294.3$672.16$680.812.3×
fallon mcr [10105]37$439.01$439.01$444.451.0×
tufts dual [10111]37$418.11$418.11$423.281.0×
commonwealth care mcr [10115]37$439.01$439.01$444.451.0×
Medicare37$418.11$418.11$423.281.0×
grants [20507]47$250.82$4,166$4,81619.2×
medcost16$1,588.17$2,408.92$3,798.572.4×
tufts mcr supp [20209]26$219.51$439.01$439.012.0×
tufts mcr [10112]26$439.01$444.45$444.451.0×
fallon mcr supp [20202]26$439.01$444.45$444.451.0×
First Health55$2,163$3,597$3,6121.7×
Multiplan45$3,597$3,612$5,333.41.5×
amerihealth24$443.34$651.31$1,923.584.3×
connecticare [11105]44$4,166$4,796$4,8161.2×
workers compensation [20501]44$1,583.02$1,918.4$2,032.171.3×
harvard pilgrim mcr supp [20203]24$439.01$439.01$439.011.0×
Humana34$369.17$2,955.93$5,629.715.2×
hne [11108]44$2,163$2,424.93$2,711.231.3×
fallon mcaid carelon hlth [29]44$4,166$4,796$4,8161.2×
eternalhealth mcr replace [10116]24$439.01$439.01$439.011.0×
upmc health plan13$368.42$376.34$526.321.4×
commonwealth care alliance [10103]13$439.01$444.45$444.451.0×
evernorth behavioral health [27]33$3,332.8$3,836.8$3,836.81.2×
geisinger13$315.79$372.76$5,607.3217.8×
masshealth mcd mbhp [38]33$4,166$4,796$4,7961.2×
pennsylvania health and wellness13$328.95$376.34$663.082.0×
wellpoint13$57$400.67$2,054.8536.0×
wellsense cc carelon hlth [20]22$4,796$4,796$4,7961.0×
health partners plans12$328.95$352.65$376.341.1×
harvard pilgrim mcr [10106]12$444.45$444.45$444.451.0×
fidelis care12$400.67$668.26$935.852.3×
optum transplant [20601]22$4,796$4,796$4,7961.0×
oscar12$1,777.8$2,074.1$2,370.41.3×
private healthcare systems12$4,859.32$4,859.32$4,859.321.0×
qualcare inc12$726$1,261.5$1,7972.5×
fallon connectorcare [10503]22$1,136.65$1,136.65$1,136.651.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARLBOROUGH HOSPITALMARLBOROUGHMA35$8,405.36$8,405.36$219.51$618.6$4,796
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA35$8,405.36$8,405.36$219.51$618.6$4,796
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$3,605$750.92$57$603.32$3,364.54
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA28$4,791.35$4,791.35$418.11$444.45$4,166
HEALTHALLIANCE-CLINTONLEOMINSTERMA30$7,842.56$7,842.56$250.82$444.45$4,816
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$6,805$262.11$376.34$6,668.9
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$5,926$2,963$859.27$2,491.89$5,629.7
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$5,432.53$5,160.9
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$5,432.53$5,160.9
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$5,432.53$5,160.9
NORTH SHORE MEDICAL CENTERSALEMMA0$19,424$19,424

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.