CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Hospital Pavia Arecibo

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $186
  • Cash Discount Price: $255
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Hospital Pavia Arecibo is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $255. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.52x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$255

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $255 (72%)
Insurance Median: $186 (52%)
Cash: $255 (72% of Medicare)
Ins. Median: $186 (52% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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
Cigna $83 23%
Medicare (plans) $89 25%
First Medical $109 - $162 31%
Plan Auxilio Mutuo $109 31%
Plan De Salud Menonita $109 - $207 31%
Mso $133 - $141 37%
Prossam $145 41%
Comerciales $155 43%
Corecare $162 45%
Mapfre $162 45%
Privado $162 45%
Mcs $186 - $232 52%
Triple S $207 - $225 58%
Bl $225 63%
Ch $232 65%
Humana $232 - $295 65%
Tricare $232 65%
Va $232 65%
Acaa $275 77%
Aetna $450 126%

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