CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Hospital Comunitario Buen Samaritano Inc

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$151
about 0.6× the $244 Medicare rate · typically $121–$267
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
Below the fair price — a good deal
about $36 under the fair price · 0.5× Medicare
Medicare pays $244 Fair price $151 This hospital $115 Cash price $344 Hospital's list price $344

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

Lowest price of the 9 PR hospitals we have prices for — a strong deal.

Cheapest $115 Priciest $180

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

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $151 (about 0.6× the $244 Medicare rate). Hospital Comunitario Buen Samaritano Inc charges insurers about $115, or about $344 in cash — below the fair price — a good deal. Located in Aguadilla, PR.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $90 - $225 37%
+ 16 smaller / regional plans $56 - $225
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: Carr Est Pr 460 Km 0 2 Bo Caimital Bajo, Aguadilla, PR 00603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals