CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: North Shore Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $369
  • Cash Discount Price: $19,424
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at North Shore Medical Center is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,424. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.04x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$19,424

Average discount available for prompt cash payment at this facility.

Insurance Median
$369

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: $19,424 (5450%)
Insurance Median: $369 (104%)
Cash: $19,424 (5450% of Medicare)
Ins. Median: $369 (104% 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
Humana $197 - $7,750 55%
Medicaid / KanCare $206 - $19,424 58%
UnitedHealthcare $209 - $346 59%
Veterans Administration Mill Bill $242 68%
Aetna $256 - $13,985 72%
Dimension Health Wc $270 76%
Workers Compensation $270 76%
Avmed Broad Network $292 82%
Medicare (plans) $311 - $19,424 87%
Healthsun Health Plans $320 - $363 90%
Bc/Bs Of Fl Health Options Hmo $327 92%
Bc/Bs Of Fl Network Blue $330 93%
Bc/Bs Myblue Hmo Hix $337 95%
Leon Health Inc $344 97%
Devoted Health $346 97%
Tricare $348 98%
Employer Direct Healthcare $351 - $387 98%
Hospice Other $351 98%
Veterans Administration Vaccn $351 98%
Bc/Bs Of Fl Simplyblue $354 99%
Cigna $363 - $9,712 102%
Bc/Bs Of Fl Blue Select Exchange Non Par $364 102%
Longevity Health Plan $369 104%
Self Pay/Uninsured $381 - $432 107%
Bc/Bs Of Fl Ppo $387 109%
Imagine Health $387 109%
Florida Pace Centers $415 116%
Bright Health Management Commercial $422 118%
Centurion Prison $432 121%
Oscar Health Plan Hix $451 127%
Avmed Exchange $615 173%
Ambetter / Centene $650 182%
Molina Marketplace Program Exchange $669 188%
Auto Insurance $703 197%
Avmed Select Network $719 202%
Amerihealth Caritas Next Exchange $755 212%
Bc/Bs Of Fl Phs $10,069 2825%
Magellan Behavioral Health $11,654 3270%
Dimensions International $12,625 3542%
First Health $13,208 3706%
Dimension Health Ppo $14,568 4087%
Beacon Health Strategies Commercial $19,424 5450%
Commercial Non-Contracted $19,424 5450%
Self Pay - Mcd Pending 100 Percent $19,424 5450%
Single Case Agreement $19,424 5450%
United Behavioral Health Psych $19,424 5450%

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