CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Inspira Medical Center Vineland

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $282
Cash Discount Price: $1,025
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Inspira Medical Center Vineland is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,025. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 1505 W Sherman Ave, Vineland, NJ.

Cash / Self-Pay

$1,025

Average discount available for prompt cash payment at this facility.

Insurance Median

$282

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: $1,025 (420%)

Insurance Median: $282 (116%)

Cash: $1,025 (420% of Medicare)

Ins. Median: $282 (116% 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.

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
UnitedHealthcare	$176 - $666	72%
Aetna	$196 - $718	80%
Fidelis Care Of Nj	$196	80%
Wellpoint	$200	82%
Braven Health	$268	110%
Clover Health	$268	110%
Horizon Nj Total Care	$268	110%
Medicare (plans)	$268	110%
Wellcare Dual Liberty	$268	110%
Wellpoint Full Dual Advantage	$268	110%
Healthspring	$276	113%
Humana	$282	116%
Horizon Nj Health	$285	117%
Jefferson Health Plan	$287	118%
Amerihealth	$417	171%
Blue Cross Blue Shield	$417 - $754	171%
Cigna	$420	172%
Ambetter / Centene	$550	226%
Oxford Health Plans	$666	273%

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 $1,025.
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 Inspira Medical Center Vineland 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.