CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Hackensack University Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $801
Cash Discount Price: $285
vs. Medicare Baseline: 3.29x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Hackensack University Medical Center is $801. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.29x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.

Cash / Self-Pay

$285

Average discount available for prompt cash payment at this facility.

Insurance Median

$801

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: $285 (117%)

Insurance Median: $801 (329%)

Cash: $285 (117% of Medicare)

Ins. Median: $801 (329% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 329% of the Medicare baseline (a markup of 229%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Horizon	$88 - $3,111	36%
Karna	$149 - $359	61%
UnitedHealthcare	$228 - $712	94%
Aetna	$283 - $801	116%
Blue Cross Blue Shield	$285	117%
Vaccn	$285	117%
Wellcare	$285	117%
United Community/Americhoice	$299	123%
Cigna	$309 - $2,552	127%
Amerihealth	$536	220%
Clover	$574	235%
Oxford	$712	292%
Seoul Medical Group	$912	374%
Intergroup	$2,233	916%
Bergen Risk	$2,392	981%
Brighton Health Plan	$2,520	1034%
Lhp Health	$2,520	1034%
Activecare First McO	$2,712	1113%
Chn	$2,712	1113%
Multiplan - PHCS	$2,712	1113%
Qualcare	$2,814	1154%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $285.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hackensack University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.