CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Robert Wood Johnson University Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $556
Cash Discount Price: $769
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Robert Wood Johnson University Hospital is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $769. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.56x the Medicare baseline. Located in One Robert Wood Johnson Place, New Brunswick, NJ.

Cash / Self-Pay

$769

Average discount available for prompt cash payment at this facility.

Insurance Median

$556

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: $769 (216%)

Insurance Median: $556 (156%)

Cash: $769 (216% of Medicare)

Ins. Median: $556 (156% 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.

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
Blue Cross Blue Shield	$247 - $2,999	69%
Wellpoint	$249 - $414	70%
Cigna	$276 - $281	77%
Aetna	$414 - $626	116%
Clover Health	$414	116%
Fidelis Care	$414 - $577	116%
Humana	$414	116%
UnitedHealthcare	$423 - $603	119%
Amerihealth	$443	124%
Wellcare	$825	231%
Emblem Health	$870	244%
Qualcare Inc	$1,370	384%
First Health	$2,163	607%

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 $769.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Robert Wood Johnson University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.