CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: NYU Langone Hospitals

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $753
Cash Discount Price: $1,003
vs. Medicare Baseline: 3.09x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at NYU Langone Hospitals is $753. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,003. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.09x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$1,003

Average discount available for prompt cash payment at this facility.

Insurance Median

$753

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: $1,003 (411%)

Insurance Median: $753 (309%)

Cash: $1,003 (411% of Medicare)

Ins. Median: $753 (309% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 309% of the Medicare baseline (a markup of 209%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Fidelis	$110 - $852	45%
Healthplus	$110 - $852	45%
Healthfirst	$130 - $852	53%
1199	$166	68%
Ghi	$286 - $12,574	117%
Hip	$286 - $8,427	117%
Medicare (plans)	$286	117%
Wellcare	$286	117%
Centerlight	$292	120%
Medicaid / KanCare	$335 - $379	137%
Metroplus	$335 - $852	137%
UnitedHealthcare	$335 - $1,482	137%
Cigna	$340	139%
Somos	$352 - $511	144%
Amida	$414 - $417	170%
Hamaspik	$429	176%
Aetna	$595 - $5,281	244%
Blue Cross Blue Shield	$1,046 - $1,307	429%
Oxford	$1,066 - $1,381	437%
Oscar	$1,833	752%
Multiplan	$4,119	1690%
Magnacare	$13,453 - $25,798	5519%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,003.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm NYU Langone Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.