CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Jamaica Hospital Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $308
Cash Discount Price: $992
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Jamaica Hospital Medical Center is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $992. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.

Cash / Self-Pay

$992

Average discount available for prompt cash payment at this facility.

Insurance Median

$308

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: $992 (407%)

Insurance Median: $308 (126%)

Cash: $992 (407% of Medicare)

Ins. Median: $308 (126% 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.

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
UnitedHealthcare	$46 - $927	19%
Ghi	$97 - $296	40%
1999 National Benefit Fund	$166	68%
World Trade Center Program	$207 - $352	85%
Healthfirst	$267 - $296	110%
Fidelis	$282 - $296	116%
Aetna	$296 - $1,229	121%
Beacon Health Strategies	$296	121%
Centerlight Healthcare	$296	121%
Centivo	$296	121%
Empire	$296 - $673	121%
Hip	$296 - $904	121%
Metroplus	$296 - $326	121%
Elderplan	$302	124%
Wellcare Of Ny	$308	126%
Humana	$314	129%
Senior Whole Health	$314	129%
Centers Plan For Healthy Living	$326	134%
Hamaspik Choice	$341	140%
Magnacare	$341	140%
Emblemhealth	$489	201%
Empire Blue Priority	$572	235%
Vns	$900	369%
Oscar	$1,480	607%
Villagecaremax	$1,522	624%
Cigna	$1,756	720%
Hotel Trades Council	$1,912	784%

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 $992.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jamaica Hospital Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.