CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Bella Vista Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $179
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Bella Vista Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.73x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $425 (174%)
Insurance Median: $179 (73%)
Cash: $425 (174% of Medicare)
Ins. Median: $179 (73% 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.

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
First Medical Vital $81 33%
Acaa $90 37%
Plan Salud Menonita Vital $94 39%
Medicare (plans) $126 - $180 52%
Mcs $142 58%
International Medical Card $162 66%
Triple S Advantage $178 73%
Champva $179 73%
Tricare $179 73%
UnitedHealthcare $179 73%
Preferred Medical Choice(Pmc) $180 74%
Plan Salud Menonita $191 78%
Mapfre Life Insurance Life Insurance $200 82%
Triple S Vital $217 89%
Triple S $225 92%
Asociacion Maestros (Prossam) $350 144%
Servicios De Salud Bella Vista $425 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals