CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Wyckoff Heights Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $433
  • Cash Discount Price: $1,691
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Wyckoff Heights Medical Center is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,691. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.21x the Medicare baseline. Located in 374 Stockholm Street, Brooklyn, NY.
Cash / Self-Pay
$1,691

Average discount available for prompt cash payment at this facility.

Insurance Median
$433

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: $1,691 (474%)
Insurance Median: $433 (121%)
Cash: $1,691 (474% of Medicare)
Ins. Median: $433 (121% 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
Aetna $92 - $433 26%
Healthfirst $360 101%
Metroplus $425 - $477 119%
Affinity Health $433 121%
Amerigroup $433 121%
Blue Cross Blue Shield $433 121%
Centers Plan For Health Living $433 121%
Emblem Health $433 - $498 121%
Fidelis $433 121%
Interga $433 121%
UnitedHealthcare $433 121%
Partners Health Plan $442 124%
Wellcare $443 - $485 124%
Senior Whole Health $446 125%
Agewell $455 128%
Alphacare $455 128%
Amida Care $455 128%
Elderplan $455 128%
Hamaspik $455 128%
Humana $455 128%
Visiting Nurse Services $455 128%
Magnacare (Brighton Health Plan ) $758 213%
Cigna $828 - $1,035 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 374 Stockholm Street, Brooklyn, NY 11237
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals