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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$952.70$4,796.0019.4×
UnitedHealthcare746$166.74$452.91$4,079.0024.5×
institution [10406]430$418.11$423.28$4,796.0011.5×
Aetna525$387.09$1,765.95$6,192.5516.0×
Cigna721$221.00$423.28$4,015.9318.2×
correctional care [11003]316$418.11$420.70$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$711.20$711.20$720.001.0×
mgb mcr [10124]410$418.11$439.01$444.451.1×
wellpoint [11112]48$953.30$953.30$953.301.0×
senior whole health [10110]48$447.37$450.14$452.911.0×
CHAMPVA48$381.70$439.17$454.231.2×
tufts us family [11203]48$418.11$420.70$423.281.0×
hsno/free care [10801]48$294.30$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$4,166.00$4,816.0019.2×
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$2,163.00$3,597.00$3,612.001.7×
Multiplan45$3,597.00$3,612.00$5,333.401.5×
amerihealth24$443.34$651.31$1,923.584.3×
connecticare [11105]44$4,166.00$4,796.00$4,816.001.2×
workers compensation [20501]44$1,583.02$1,918.40$2,032.171.3×
harvard pilgrim mcr supp [20203]24$439.01$439.01$439.011.0×
Humana34$369.17$2,955.93$5,629.7015.2×
hne [11108]44$2,163.00$2,424.93$2,711.231.3×
fallon mcaid carelon hlth [29]44$4,166.00$4,796.00$4,816.001.2×
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$3,332.80$3,836.80$3,836.801.2×
geisinger13$315.79$372.76$5,607.3217.8×
masshealth mcd mbhp [38]33$4,166.00$4,796.00$4,796.001.2×
pennsylvania health and wellness13$328.95$376.34$663.082.0×
wellpoint13$57.00$400.67$2,054.8536.0×
wellsense cc carelon hlth [20]22$4,796.00$4,796.00$4,796.001.0×
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$4,796.00$4,796.00$4,796.001.0×
oscar12$1,777.80$2,074.10$2,370.401.3×
private healthcare systems12$4,859.32$4,859.32$4,859.321.0×
qualcare inc12$726.00$1,261.50$1,797.002.5×
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$618.60$4,796.00
Umass Memorial Medical CenterWorcesterMA35$8,405.36$8,405.36$219.51$618.60$4,796.00
Beth Israel Deaconess - PlymouthPlymouthMA13$3,605.00$750.92$57.00$603.32$3,364.54
Harrington Memorial HospitalSouthbridgeMA28$4,791.35$4,791.35$418.11$444.45$4,166.00
Healthalliance-ClintonLeominsterMA30$7,842.56$7,842.56$250.82$444.45$4,816.00
Chestnut Hill Benevolent AssociationChestnut HillMA19$6,805.00$262.11$376.34$6,668.90
High Point HospitalMiddleboroughMA19$5,926.00$2,963.00$859.27$2,491.89$5,629.70
North Adams Regional HospitalNorth AdamsMA0$5,432.53$5,160.90
Fairview HospitalGreat BarringtonMA0$5,432.53$5,160.90
Berkshire Medical CenterPittsfieldMA0$5,432.53$5,160.90
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.