CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Elmhurst Hospital Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $438
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Elmhurst Hospital Center is $438. 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 $243.77, this hospital’s rate is 1.80x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$438

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%)
Insurance Median: $438 (180%)
Ins. Median: $438 (180% 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.

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 $70 - $985 29%
Aetna $88 - $1,131 36%
Amidacare $88 - $438 36%
Emblem $88 - $655 36%
Wellcare $95 - $492 39%
Metroplus $114 - $985 47%
Fidelis $127 - $985 52%
Oscar $132 - $1,228 54%
Blue Cross Blue Shield $286 - $985 117%
Elderplan $286 - $533 117%
Vaccn $286 117%
Vnsny $286 - $696 117%
Oxford $291 - $492 119%
United $291 - $655 119%
Centers Plan For Healthy Living $297 122%
Centerlight $410 168%
Carelon $438 - $533 180%
Senior Whole Health $438 180%
United Behavioral Health $438 - $482 180%
Affinity $447 - $985 183%
Carelon (Amida Care) $447 183%
Magnacare $615 252%
Multiplan $655 269%
Local 1199 $696 286%
Villagecare Max $696 286%
Cigna $1,056 433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals