CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jersey Shore University Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $942
Cash Discount Price: $395
vs. Medicare Baseline: 2.64x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Jersey Shore University Medical Center is $942. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $395. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.64x the Medicare baseline. Located in 1945 Rte 33, Neptune, NJ.

Cash / Self-Pay

$395

Average discount available for prompt cash payment at this facility.

Insurance Median

$942

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: $395 (111%)

Insurance Median: $942 (264%)

Cash: $395 (111% of Medicare)

Ins. Median: $942 (264% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 264% of the Medicare baseline (a markup of 164%). 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
Karna	$151 - $572	42%
Blue Cross Blue Shield	$395	111%
UnitedHealthcare	$395 - $2,303	111%
Vaccn	$395	111%
Wellcare	$395	111%
United Community/Americhoice	$415	116%
Aetna	$431 - $3,192	121%
Amerihealth	$620 - $630	174%
Activecare First McO	$650	182%
Cigna	$685 - $3,261	192%
Clover	$734	206%
Seoul Medical Group	$942	264%
Oxford	$1,131 - $2,303	317%
Qualcare	$2,083 - $3,701	584%
Brighton Health Plan	$2,812	789%
Horizon	$2,945 - $4,076	826%
Beacon	$3,057	858%
Bergen Risk	$3,057	858%
Multiplan - PHCS	$3,465	972%

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 $395.
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 Jersey Shore University Medical Center 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.