CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Montefiore New Rochelle Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $332
  • Cash Discount Price: $3,013
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Montefiore New Rochelle Hospital is $332. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,013. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.93x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$3,013

Average discount available for prompt cash payment at this facility.

Insurance Median
$332

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: $3,013 (845%)
Insurance Median: $332 (93%)
Cash: $3,013 (845% of Medicare)
Ins. Median: $332 (93% 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
Molina Healthcare Of Ny Affinity $107 - $583 30%
Amidacare $109 - $444 31%
Emblem $109 - $507 31%
Empire $109 - $4,641 31%
Fidelis $109 - $423 31%
Medicaid / KanCare $109 31%
Metroplus $109 - $549 31%
Mvp $109 - $862 31%
UnitedHealthcare $109 - $828 31%
Wellcare $110 - $431 31%
Hamaspik $114 - $456 32%
Vnsny Choice $125 - $423 35%
Vnsny Select Health $125 35%
Healthfirst $225 - $423 63%
Villagecaremax $423 119%
Centerlight $435 122%
Partners_Health_Plan $444 125%
Humana $465 130%
Oscar $668 187%
Aetna $1,113 - $1,246 312%
Northwell $1,137 319%
Centivo $2,921 - $3,013 820%

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