CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Maimonides Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $87
  • Cash Discount Price: $1,513
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Maimonides Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,513. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.36x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$1,513

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $1,513 (621%)
Insurance Median: $87 (36%)
Cash: $1,513 (621% of Medicare)
Ins. Median: $87 (36% 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
Aetna $29 - $298 12%
Blue Cross Blue Shield $36 - $480 15%
United Community Plan $38 - $328 16%
Metroplus $40 - $357 16%
UnitedHealthcare $40 - $348 16%
Emblem Health - Hip $42 - $225 17%
Fidelis $42 - $143 17%
Healthfirst $44 - $292 18%
Emblem Health - Ghi $48 - $905 20%
Oxford Liberty $62 - $348 25%
Oxford Health Plan $68 - $348 28%
Villagecare Maxx Fida $69 - $179 28%
Centers Plan For Healthy Living $70 - $92 29%
Elderplan $70 - $141 29%
Emblem Health - Hip Vip $70 - $88 29%
Wellcare $70 - $125 29%
Healthfirst Early Start $71 29%
Visiting Nurse Svc Of Ny $72 - $88 30%
Molina $73 - $163 30%
Cigna $76 - $269 31%
Hamaspik $94 39%
Local 1199 $95 - $166 39%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals