CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercy Hospital of Buffalo

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $297
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercy Hospital of Buffalo is $297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.83x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$297

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $298 (84%)
Insurance Median: $297 (83%)
Cash: $298 (84% of Medicare)
Ins. Median: $297 (83% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $67 - $312 19%
Univera Healthcare Essential [100170] $78 - $263 22%
Blue Cross Blue Shield $147 - $446 41%
Fidelis Essential [100163] $147 - $357 41%
Molina Essential [100167] $147 - $658 41%
Amerigroup [350102] $194 - $446 54%
Vna Option Mltc [350110] $206 - $292 58%
Crime Victims [100176] $206 - $292 58%
Independent Health Essential [100166] $206 - $450 58%
Medicaid / KanCare $206 - $375 58%
Excellus Rochester McD [350117] $206 - $292 58%
Tuscarora Nation [550120] $206 - $292 58%
Hospice [550001] $214 - $297 60%
Medicare (plans) $219 - $544 61%
VA Veterans Affairs [700001] $253 - $297 71%
Univera Healthcare [100169] $263 - $371 74%
Beacon Essential [350122] $268 - $357 75%
Ghi [100153] $282 79%
Humana $297 - $312 83%
Meritain [100063] $297 83%
Catholic Health Life Pace [400005] $297 83%
Seneca Nation [450119] $297 83%
Fallon Health [450115] $297 83%
Champ VA [700002] $297 83%
Tricare $297 83%
Aetna $297 - $312 83%
Covid19 Hrsa [45013] $297 83%
Magnacare [100142] $297 83%
Cigna $297 - $431 83%
Fidelis Dual Advantage [450120] $308 - $312 86%
Wellcare Fidelis Dual [450451] $308 - $312 86%
Independent Health [100165] $323 - $901 91%
Iha First Choice [800001] $323 - $670 91%
Wellcare [450129] $327 92%
Fidelis Exchange [100164] $357 100%
Beacon Health Options [100023] $357 100%
No Fault [114001] $385 - $506 108%
Mvp Healthcare [100168] $396 111%
UPMC Health Plan [100181] $397 - $535 111%
Federal Workers Compensation [500100] $506 142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals