CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Queens Hospital Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $377
Cash Discount Price: $283
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Queens Hospital Center is $377. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $283. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.55x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.

Cash / Self-Pay

$283

Average discount available for prompt cash payment at this facility.

Insurance Median

$377

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: $283 (116%)

Insurance Median: $377 (155%)

Cash: $283 (116% of Medicare)

Ins. Median: $377 (155% 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.

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	$70 - $1,018	29%
Aetna	$88 - $1,131	36%
Amidacare	$88 - $452	36%
Emblem	$88 - $1,221	36%
Wellcare	$95 - $916	39%
Metroplus	$114 - $1,018	47%
Fidelis	$127 - $1,018	52%
Oscar	$132 - $1,228	54%
Blue Cross Blue Shield	$156 - $1,221	64%
Local 1199	$166 - $1,298	68%
Affinity	$184 - $1,018	75%
Centerlight	$210 - $763	86%
Elderplan	$210 - $992	86%
Centers Plan For Healthy Living	$218 - $297	89%
Hamaspik	$220	90%
Vaccn	$286	117%
Vnsny	$286 - $1,298	117%
Oxford	$291 - $916	119%
United	$291 - $1,221	119%
Carelon	$452 - $992	185%
Senior Whole Health	$452	185%
United Behavioral Health	$452 - $498	185%
Carelon (Amida Care)	$461	189%
Cigna	$1,056	433%
Magnacare	$1,145	470%
Multiplan	$1,221	501%
Villagecare Max	$1,298	532%

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 $283.
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 Queens Hospital Center 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.