CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: UNM Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $337
  • Cash Discount Price: $963
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at UNM Hospital is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $963. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.95x the Medicare baseline. Located in 2211 Lomas Boulevard Ne, Albuquerque, NM.
Cash / Self-Pay
$963

Average discount available for prompt cash payment at this facility.

Insurance Median
$337

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: $963 (270%)
Insurance Median: $337 (95%)
Cash: $963 (270% of Medicare)
Ins. Median: $337 (95% 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.

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
Humana $124 - $309 35%
Aetna $137 - $344 38%
Alamo Navajo School Board $137 - $344 38%
Blue Cross Blue Shield $137 - $344 38%
Indian Health Abq $137 - $344 38%
Kewa Pueblo Health Corporation $137 - $344 38%
Pueblo Of Isleta $137 - $344 38%
Pueblo Of Jemez $137 - $344 38%
Pueblo Of Sandia $137 - $344 38%
UnitedHealthcare $137 - $1,257 38%
Devoted Health $165 - $412 46%
Christus $206 - $516 58%
Albuquerque Public Schools $275 - $687 77%
Presbyterian Network $275 - $687 77%
Christus Health Exchange Plan $309 - $773 87%
Imperial Health Exchange $337 - $842 95%
Molina $337 - $842 95%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals