CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Cooperman Barnabas Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $376
  • Cash Discount Price: $644
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cooperman Barnabas Medical Center is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $644. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 94 Old Short Hills Road, Livingston, NJ.
Cash / Self-Pay
$644

Average discount available for prompt cash payment at this facility.

Insurance Median
$376

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: $644 (264%)
Insurance Median: $376 (154%)
Cash: $644 (264% of Medicare)
Ins. Median: $376 (154% 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
Blue Cross Blue Shield $156 - $2,584 64%
Aetna $271 - $527 111%
Clover Health $271 111%
Fidelis Care $271 - $491 111%
Humana $271 111%
Wellpoint $271 - $1,733 111%
UnitedHealthcare $277 - $481 114%
Cigna $281 - $296 115%
Amerihealth $376 154%
Wellcare $540 222%
Emblem Health $542 222%
Qualcare Inc $726 - $1,797 298%
First Health $1,824 748%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 94 Old Short Hills Road, Livingston, NJ 07039
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals