CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: North Shore Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $272
  • Cash Discount Price: $16,192
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at North Shore Medical Center is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,192. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.12x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$16,192

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $16,192 (6642%)
Insurance Median: $272 (112%)
Cash: $16,192 (6642% of Medicare)
Ins. Median: $272 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Humana $133 - $6,461 55%
Avmed Broad Network $134 55%
Aetna $142 - $11,658 58%
Dimension Health Wc $150 62%
Workers Compensation $150 62%
Veterans Administration Mill Bill $164 67%
Imagine Health $178 73%
Healthsun Health Plans $195 - $246 80%
Medicaid / KanCare $206 - $16,192 85%
UnitedHealthcare $207 - $234 85%
Medicare (plans) $211 - $16,192 87%
Self Pay/Uninsured $232 - $292 95%
Leon Health Inc $233 96%
Devoted Health $234 96%
Tricare $235 96%
Employer Direct Healthcare $236 - $238 97%
Hospice Other $238 98%
Veterans Administration Vaccn $238 98%
Cigna $246 - $8,096 101%
Longevity Health Plan $250 103%
Oscar Health Plan Hix $272 112%
Florida Pace Centers $281 115%
Bright Health Management Commercial $285 117%
Centurion Prison $292 120%
Bc/Bs Of Fl Health Options Hmo $327 134%
Bc/Bs Of Fl Network Blue $330 135%
Bc/Bs Myblue Hmo Hix $337 138%
Bc/Bs Of Fl Simplyblue $354 145%
Bc/Bs Of Fl Blue Select Exchange Non Par $364 149%
Bc/Bs Of Fl Ppo $387 159%
Avmed Exchange $416 171%
Ambetter / Centene $440 180%
Molina Marketplace Program Exchange $453 186%
Auto Insurance $476 195%
Avmed Select Network $487 200%
Amerihealth Caritas Next Exchange $511 210%
Bc/Bs Of Fl Phs $8,394 3443%
Magellan Behavioral Health $9,715 3985%
Dimensions International $10,525 4318%
First Health $11,010 4517%
Dimension Health Ppo $12,144 4982%
Beacon Health Strategies Commercial $16,192 6642%
Commercial Non-Contracted $16,192 6642%
Self Pay - Mcd Pending 100 Percent $16,192 6642%
Single Case Agreement $16,192 6642%
United Behavioral Health Psych $16,192 6642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals