CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $581
Cash Discount Price: $2,564
vs. Medicare Baseline: 1.63x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Memorial Hospital for Cancer and Allied Diseases is $581. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,564. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.63x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$2,564

Average discount available for prompt cash payment at this facility.

Insurance Median

$581

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: $2,564 (719%)

Insurance Median: $581 (163%)

Cash: $2,564 (719% of Medicare)

Ins. Median: $581 (163% 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
Aetna	$93 - $1,685	26%
Fidelis	$93 - $1,140	26%
Healthfirst	$93 - $2,708	26%
Metroplus	$93 - $2,933	26%
Emblem	$206 - $3,128	58%
Oxford	$330 - $1,863	93%
Empire	$346 - $1,615	97%
Cigna	$409 - $1,552	115%
UnitedHealthcare	$411 - $1,985	115%
Magnacare	$443 - $3,610	124%
Urn	$480 - $3,204	135%
6 Degrees Health	$492 - $3,520	138%
Multiplan	$554 - $4,062	155%

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 $2,564.
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 Memorial Hospital for Cancer and Allied Diseases 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.