CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Hospital Pavia Santurce

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$193

about 0.5× the $356 Medicare rate · typically $128–$281

modeled estimate · not a bill or quote

What this hospital charges insurers

$191

About the fair price

about $2 under the fair price · 0.5× Medicare

Medicare pays $356 Fair price $193 This hospital $191 Cash price $955 Hospital's list price $955

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

One of the lower prices — 6 of 8 other PR hospitals charge more for the same procedure.

Cheapest $163 Priciest $232

Black dot = this hospital, among the 9 PR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $193 (about 0.5× the $356 Medicare rate). Hospital Pavia Santurce charges insurers about $191, or about $955 in cash — about the fair price. Located in San Juan, PR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$225	63%
Aetnamajor	$94	26%
Cignamajor	$163	46%
Humanamajor	$214 - $321	60%
+ 14 smaller / regional plans	$69 - $450

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 955), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Hospital Pavia Santurce is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Hospital Pavia Santurce

Compare: CT scan, abdomen and pelvis (with contrast) at other PR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.