CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Montefiore St Luke's Cornwall

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $447
  • Cash Discount Price: $435
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Montefiore St Luke's Cornwall is $447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $435. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.25x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
$435

Average discount available for prompt cash payment at this facility.

Insurance Median
$447

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: $435 (122%)
Insurance Median: $447 (125%)
Cash: $435 (122% of Medicare)
Ins. Median: $447 (125% 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
Affinity $109 - $457 31%
Emblem $109 - $5,747 31%
Healthfirst $109 - $803 31%
Medicaid / KanCare $109 31%
Fidelis $348 - $505 98%
Aetna $400 - $447 112%
Mediblue $422 118%
Blue Cross Blue Shield $435 - $2,650 122%
Cdphp $435 - $5,029 122%
Hudson Valley $435 122%
Oscar $435 - $688 122%
Point Comfort $435 122%
UnitedHealthcare $435 - $589 122%
Villagecaremax $435 122%
Vnsny Choice $435 122%
Geha $447 125%
Meritain Health $447 125%
Nippon Life Insurance $447 125%
Centerlight $449 126%
Wellcare $449 126%
Hamaspik $470 132%
Humana $479 134%
American Postal Workers $589 165%
Mvp $1,132 318%
Northwell $1,171 329%
Centivo $4,526 1270%
Seiu1199 $5,388 1512%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals