CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Hospital Comunitario Buen Samaritano Inc

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$237

about 0.7× the $356 Medicare rate · typically $199–$397

modeled estimate · not a bill or quote

What this hospital charges insurers

$207

Below the fair price — a good deal

about $30 under the fair price · 0.6× Medicare

Medicare pays $356 Fair price $237 This hospital $207 Cash price $437 Hospital's list price $437

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

A typical price — 1 charge more and 5 charge less, among the 9 PR hospitals compared.

Cheapest $163 Priciest $232

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 (with contrast) is about $237 (about 0.7× the $356 Medicare rate). Hospital Comunitario Buen Samaritano Inc charges insurers about $207, or about $437 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	$94 - $232	26%
+ 16 smaller / regional plans	$66 - $232

Government programs also on file: Medicare.

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 437), 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 Comunitario Buen Samaritano Inc 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 Comunitario Buen Samaritano Inc

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

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