CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Hospital Pavia Arecibo

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $116
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Hospital Pavia Arecibo is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.48x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$225

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $225 (92%)
Insurance Median: $116 (48%)
Cash: $225 (92% of Medicare)
Ins. Median: $116 (48% 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 $62 - $162 25%
Plan Auxilio Mutuo $62 25%
Plan De Salud Menonita $62 - $207 25%
Mso $69 - $97 28%
Cigna $80 33%
Comerciales $80 33%
Medicare (plans) $85 35%
Ch $115 47%
Humana $115 - $225 47%
Mcs $115 - $171 47%
Tricare $115 47%
Va $115 47%
Triple S $116 - $225 48%
Prossam $125 51%
Corecare $162 66%
Mapfre $162 66%
Privado $162 66%
Acaa $179 73%
Bl $225 92%
Aetna $450 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals