CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Kings County Hospital Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $381
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Kings County Hospital Center is $381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.56x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$281

Average discount available for prompt cash payment at this facility.

Insurance Median
$381

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: $281 (115%)
Insurance Median: $381 (156%)
Cash: $281 (115% of Medicare)
Ins. Median: $381 (156% 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
Healthfirst $71 - $1,027 29%
Aetna $88 - $1,131 36%
Amidacare $89 - $457 37%
Emblem $89 - $1,221 37%
Wellcare $96 - $916 39%
Metroplus $114 - $1,027 47%
Fidelis $129 - $1,027 53%
Oscar $134 - $1,228 55%
Blue Cross Blue Shield $156 - $1,221 64%
Local 1199 $166 - $1,298 68%
Affinity $186 - $1,027 76%
Centerlight $212 - $763 87%
Elderplan $212 - $992 87%
Centers Plan For Healthy Living $220 - $297 90%
Hamaspik $222 91%
Vaccn $286 117%
Vnsny $286 - $1,298 117%
Oxford $291 - $916 119%
United $291 - $1,221 119%
Carelon $457 - $992 187%
Senior Whole Health $457 187%
United Behavioral Health $457 - $502 187%
Carelon (Amida Care) $466 191%
Cigna $1,056 433%
Magnacare $1,145 470%
Multiplan $1,221 501%
Villagecare Max $1,298 532%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals