SelfPayRates — hospital cash prices, from the source
Cash prices at 3 facilities across 3 cities for code 74177, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Gouverneur Hospital
GOUVERNEUR, NY HC COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST |
$2,772.77 | $4,265.80 | 35% | — file |
|
| Canton-Potsdam Hospital
POTSDAM, NY HC COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST |
$2,872.84 | $4,419.75 | 35% | Apr 1, 2026 file |
|
| Massena Hospital Inc
MASSENA, NY HC COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST |
$3,013.15 | $4,635.62 | 35% | Apr 1, 2026 file |
Outpatient: lowest $2,772.77, median $2,872.84, highest $3,013.15 — a 1.1× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $2,872.84. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.