CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Montefiore New Rochelle Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $220
  • Cash Discount Price: $2,775
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Montefiore New Rochelle Hospital is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,775. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.90x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$2,775

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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%)
Cash / Self-Pay: $2,775 (1138%)
Insurance Median: $220 (90%)
Cash: $2,775 (1138% of Medicare)
Ins. Median: $220 (90% 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
Molina Healthcare Of Ny Affinity $68 - $395 28%
Amidacare $69 - $300 28%
Emblem $69 - $343 28%
Empire $69 - $4,641 28%
Fidelis $69 - $286 28%
Medicaid / KanCare $69 28%
Metroplus $69 - $372 28%
Mvp $69 - $583 28%
UnitedHealthcare $69 - $518 28%
Wellcare $70 - $292 29%
Hamaspik $73 - $309 30%
Vnsny Choice $80 - $286 33%
Vnsny Select Health $80 33%
Healthfirst $107 - $286 44%
Villagecaremax $286 117%
Centerlight $295 121%
Partners_Health_Plan $300 123%
Humana $315 129%
Oscar $452 185%
Aetna $530 - $593 217%
Northwell $769 315%
Centivo $2,689 - $2,775 1103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals