CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jamaica Hospital Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $451
Cash Discount Price: $1,557
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Jamaica Hospital Medical Center is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,557. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.27x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.

Cash / Self-Pay

$1,557

Average discount available for prompt cash payment at this facility.

Insurance Median

$451

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: $1,557 (437%)

Insurance Median: $451 (127%)

Cash: $1,557 (437% of Medicare)

Ins. Median: $451 (127% 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.

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	$72 - $927	20%
Ghi	$208 - $433	58%
1999 National Benefit Fund	$318	89%
Healthfirst	$390 - $433	109%
Fidelis	$412 - $433	116%
Aetna	$433 - $1,229	121%
Beacon Health Strategies	$433	121%
Centerlight Healthcare	$433	121%
Centivo	$433	121%
Empire	$433 - $984	121%
Hip	$433 - $1,322	121%
Metroplus	$433 - $477	121%
Elderplan	$442	124%
World Trade Center Program	$449 - $600	126%
Wellcare Of Ny	$451	127%
Humana	$459	129%
Senior Whole Health	$459	129%
Centers Plan For Healthy Living	$477	134%
Hamaspik Choice	$498	140%
Magnacare	$498	140%
Emblemhealth	$715	201%
Empire Blue Priority	$836	235%
Vns	$900	253%
Oscar	$1,480	415%
Villagecaremax	$1,522	427%
Cigna	$1,756	493%
Hotel Trades Council	$1,912	536%

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 $1,557.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.