CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: NYU Langone Hospitals

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $753
Cash Discount Price: $1,568
vs. Medicare Baseline: 2.11x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at NYU Langone Hospitals is $753. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,568. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.11x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$1,568

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

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $1,568 (440%)

Insurance Median: $753 (211%)

Cash: $1,568 (440% of Medicare)

Ins. Median: $753 (211% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 211% of the Medicare baseline (a markup of 111%). 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
Healthfirst	$226 - $852	63%
Fidelis	$231 - $852	65%
Healthplus	$231 - $852	65%
1199	$318	89%
Hip	$335 - $5,199	94%
Medicaid / KanCare	$335 - $379	94%
Metroplus	$335 - $852	94%
UnitedHealthcare	$335 - $1,482	94%
Somos	$352 - $511	99%
Amida	$414 - $417	116%
Ghi	$423 - $5,199	119%
Medicare (plans)	$423	119%
Wellcare	$423	119%
Centerlight	$431	121%
Hamaspik	$634	178%
Cigna	$661	185%
Oxford	$1,066 - $1,381	299%
Aetna	$1,251 - $8,252	351%
Oscar	$1,833	514%
Blue Cross Blue Shield	$1,846 - $2,308	518%
Magnacare	$2,645 - $4,126	742%
Multiplan	$6,437	1806%

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 $1,568.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.