CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Elizabethtown Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $226
Cash Discount Price: $1,791
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Elizabethtown Community Hospital is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,791. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.93x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$1,791

Average discount available for prompt cash payment at this facility.

Insurance Median

$226

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: $1,791 (735%)

Insurance Median: $226 (93%)

Cash: $1,791 (735% of Medicare)

Ins. Median: $226 (93% 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
Capital District Physicians' Health Plan	$118 - $2,745	48%
UnitedHealthcare	$122 - $3,075	50%
Fidelis Care	$137 - $1,269	56%
Mvp	$148 - $2,608	61%
Blue Cross Blue Shield	$156 - $2,510	64%
Humana	$165 - $230	68%
Aetna	$174 - $2,504	71%
Martins Point	$174 - $1,269	71%
Veterans Affairs Community Care Network	$174 - $1,269	71%
Choicecare	$191 - $2,671	78%
Harvard Pilgrim	$194 - $2,671	80%
Magnacare	$194 - $2,671	80%
Coventry	$206 - $2,838	85%
Multiplan	$218 - $3,005	89%
Highmark Blueshield	$220 - $2,721	90%
Wellpath	$243 - $1,903	100%
Emblem Health	$2,671	1096%

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 $1,791.
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 Elizabethtown Community Hospital 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.