CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Long Island Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $366
  • Cash Discount Price: $1,428
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Long Island Community Hospital is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,428. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$1,428

Average discount available for prompt cash payment at this facility.

Insurance Median
$366

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: $1,428 (401%)
Insurance Median: $366 (103%)
Cash: $1,428 (401% of Medicare)
Ins. Median: $366 (103% 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
Local 1199 $183 51%
Magellan $238 67%
Multiplan $238 67%
Oscar Health Exchange $249 70%
Coventry $271 76%
Longevity Health $293 82%
Galaxy $330 93%
Aarp $366 103%
Aetna $366 - $894 103%
Beacon Health Options $366 103%
Blue Cross Blue Shield $366 - $2,262 103%
Centerlight $366 103%
Cigna $366 - $826 103%
Emblem Ghi $366 103%
Fidelis $366 103%
Humana $366 103%
Integra $366 103%
Medicare (plans) $366 103%
UnitedHealthcare $366 - $1,145 103%
Agewell $379 106%
Elderplan Inc. $403 113%
Wellcare $403 113%
Nexus Nyu $1,031 - $20,815 289%
Magnacare $1,511 - $2,645 424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals