CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Jacobi Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $472
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Jacobi Medical Center is $472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.32x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$472

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%)

Insurance Median: $472 (132%)

Ins. Median: $472 (132% 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
Healthfirst	$76 - $1,042	21%
Aetna	$92 - $1,131	26%
Amidacare	$94 - $463	26%
Emblem	$94 - $2,009	26%
Wellcare	$102 - $1,507	29%
Metroplus	$119 - $1,042	33%
Fidelis	$136 - $1,042	38%
Oscar	$142 - $1,228	40%
Blue Cross Blue Shield	$274 - $2,009	77%
Elderplan	$423 - $1,632	119%
Vaccn	$423	119%
Vnsny	$423 - $2,135	119%
Centers Plan For Healthy Living	$440	123%
Oxford	$450 - $1,507	126%
United	$450 - $2,009	126%
Carelon	$463 - $1,632	130%
Senior Whole Health	$463	130%
United Behavioral Health	$463 - $510	130%
Affinity	$472 - $1,042	132%
Carelon (Amida Care)	$472	132%
Cigna	$1,056	296%
Centerlight	$1,256	352%
Magnacare	$1,884	529%
Multiplan	$2,009	564%
Local 1199	$2,135	599%
Villagecare Max	$2,135	599%

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 $X.
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 Jacobi 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.