CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Nassau University Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $222
Cash Discount Price: $825
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Nassau University Medical Center is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $825. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.91x the Medicare baseline. Located in 2201 Hempstead Turnpike, East Meadow, NY.

Cash / Self-Pay

$825

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $825 (338%)

Insurance Median: $222 (91%)

Cash: $825 (338% of Medicare)

Ins. Median: $222 (91% 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
Blue Cross Blue Shield	$76 - $1,179	31%
Molina Healthcare (Fka Affinity)	$76 - $180	31%
Centers Plan For Healthy Living	$89 - $286	37%
Fidelis Care	$89 - $300	37%
Aetna	$97 - $976	40%
Emblemhealth	$156 - $370	64%
Cigna	$232	95%
Humana	$232 - $286	95%
UnitedHealthcare	$286 - $1,251	117%
Magnacare	$636	261%
1199Seiu National Benefit Funds	$707	290%

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 $825.
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 Nassau University 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.