CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Maimonides Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $93
  • Cash Discount Price: $880
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Maimonides Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $880. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.26x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$880

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $880 (247%)
Insurance Median: $93 (26%)
Cash: $880 (247% of Medicare)
Ins. Median: $93 (26% 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
Healthfirst $31 - $427 9%
Blue Cross Blue Shield $32 - $939 9%
Emblem Health - Hip $38 - $252 11%
Cigna $39 - $585 11%
Oxford Liberty $39 - $379 11%
United Community Plan $40 - $479 11%
UnitedHealthcare $40 - $379 11%
Aetna $47 - $435 13%
Magnacare $47 - $177 13%
Fidelis $54 - $152 15%
Oxford Health Plan $64 - $379 18%
Metroplus $68 - $523 19%
Emblem Health - Ghi $69 - $1,324 19%
Hamaspik $70 - $99 20%
Wellcare $70 - $111 20%
Centers Plan For Healthy Living $74 - $101 21%
Elderplan $74 - $113 21%
Villagecare Maxx Fida $74 - $167 21%
Healthfirst Early Start $76 - $77 21%
Local 1199 $76 - $360 21%
Molina $76 - $171 21%
Visiting Nurse Svc Of Ny $76 - $94 21%
Emblem Health - Hip Vip $90 - $96 25%
Centivo $129 36%

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