CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jfk University Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$499

about 1.4× the $356 Medicare rate · typically $423–$584

modeled estimate · not a bill or quote

What this hospital charges insurers

$396

Below the fair price — a good deal

about $103 under the fair price · 1.1× Medicare

Medicare pays $356 Fair price $499 This hospital $396 Cash price $376 Hospital's list price $5,353

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NJ hospitals compared.

Cheapest $151 Priciest $407

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 (with contrast) is about $499 (about 1.4× the $356 Medicare rate). Jfk University Medical Center charges insurers about $396, or about $376 in cash — below the fair price — a good deal. Located in Edison, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$375 - $951	105%
Blue Cross Blue Shieldmajor	$396	111%
Aetnamajor	$357 - $4,497	100%
Cignamajor	$704	198%
Amerigroup	$357 - $396	100%
AmeriHealth	$564 - $624	158%
Clover Health	$964	270%
WellCare	$357 - $396	100%
+ 9 smaller / regional plans	$156 - $4,975

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (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 376), 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: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Jfk University Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
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 Jfk University Medical Center

Compare: CT scan, abdomen and pelvis (with contrast) at other NJ hospitals

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