CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Elmhurst Hospital Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $447
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Elmhurst Hospital Center is $447. 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 1.25x 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
$447

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: $447 (125%)
Ins. Median: $447 (125% 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.

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 $74 - $985 21%
Aetna $92 - $1,131 26%
Amidacare $93 - $438 26%
Emblem $93 - $1,074 26%
Wellcare $100 - $806 28%
Metroplus $119 - $985 33%
Fidelis $134 - $985 38%
Oscar $139 - $1,228 39%
Blue Cross Blue Shield $423 - $1,074 119%
Elderplan $423 - $873 119%
Vaccn $423 119%
Vnsny $423 - $1,141 119%
Carelon $438 - $873 123%
Senior Whole Health $438 123%
United $438 - $1,074 123%
United Behavioral Health $438 - $482 123%
Centers Plan For Healthy Living $440 123%
Affinity $447 - $985 125%
Carelon (Amida Care) $447 125%
Oxford $450 - $806 126%
Centerlight $671 188%
Magnacare $1,007 283%
Cigna $1,056 296%
Multiplan $1,074 301%
Local 1199 $1,141 320%
Villagecare Max $1,141 320%

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