CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Monmouth Medical Center-Southern Campus

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$319

about 1.3× the $244 Medicare rate · typically $278–$328

modeled estimate · not a bill or quote

What this hospital charges insurers

$313

About the fair price

about $6 under the fair price · 1.3× Medicare

Medicare pays $244 Fair price $319 This hospital $313 Cash price $723 Hospital's list price $3,040

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $95 Priciest $313

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $319 (about 1.3× the $244 Medicare rate). Monmouth Medical Center-Southern Campus charges insurers about $313, or about $723 in cash — about the fair price. Located in Lakewood, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$269 - $562	110%
Blue Cross Blue Shieldmajor	$156 - $2,952	64%
Aetnamajor	$264 - $616	108%
Cignamajor	$221 - $296	91%
Humanamajor	$264	108%
AmeriHealth	$376	154%
Clover Health	$264	108%
Fidelis Care	$264 - $573	108%
WellCare	$526	216%
+ 2 smaller / regional plans	$462 - $1,797

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 723), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Monmouth Medical Center-Southern Campus is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Monmouth Medical Center-Southern Campus

Compare: CT scan, abdomen and pelvis (no contrast) at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.