CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Englewood Hospital and Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $484
  • Cash Discount Price: $417
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Englewood Hospital and Medical Center is $484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $417. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.99x the Medicare baseline. Located in 350 Engle St, Englewood, NJ.
Cash / Self-Pay
$417

Average discount available for prompt cash payment at this facility.

Insurance Median
$484

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: $417 (171%)
Insurance Median: $484 (199%)
Cash: $417 (171% of Medicare)
Ins. Median: $484 (199% 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
Horizon New Jersey Health_674 $88 36%
Multiplan $93 - $2,042 38%
Emblem_762 $97 40%
Hip Health Plan $256 - $270 105%
Heathnet Federal Services $262 107%
Aetna $285 - $2,050 117%
Americhoice_732 $285 117%
Amerigroup_758 $285 117%
Amerihealth_766 $285 117%
Blue Cross Blue Shield $285 - $2,416 117%
Clover_733 $285 117%
Horizon New Jersey Health - Dsnp $285 - $305 117%
Humana $285 117%
UnitedHealthcare $285 - $648 117%
Emblem_734 $298 122%
Wellcare_765 $307 126%
Wellcare_755 $326 134%
Americhoice_756 $375 154%
Amerigroup_754 $409 168%
Magnacare_768 $412 169%
Magnacare_770 $412 169%
Health Care Support_787 $498 204%
Amerihealth_760 $512 210%
Oxford_741 $636 261%
Qualcare $786 322%
Amerihealth_757 $1,913 785%
Bergen $2,400 985%
Horizon $2,438 - $2,600 1000%
Magnacare_763 $2,500 1026%
Magnacare_769 $2,500 1026%
Cigna $2,687 1102%
Qualcare_752 $2,754 1130%
Coventry $3,125 1282%
Magnacare $3,334 1368%
Qualcare_783 $7,783 3193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Engle St, Englewood, NJ 07631
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals