CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mayaguez Medical Center Dr Ramon Emeterio Betances

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $411
Cash Discount Price: $175
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mayaguez Medical Center Dr Ramon Emeterio Betances is $411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.69x the Medicare baseline. Located in Carr 2 Bo Sabalos, Mayaguez, PR.

Cash / Self-Pay

$175

Average discount available for prompt cash payment at this facility.

Insurance Median

$411

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: $175 (72%)

Insurance Median: $411 (169%)

Cash: $175 (72% of Medicare)

Ins. Median: $411 (169% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicare (plans)	$89	37%
Triple S	$159 - $450	65%
Acaa	$179	73%
Salud Correccional	$204 - $205	84%
Plan Vital	$205 - $664	84%
Mmm	$225 - $450	92%
McS Classicare	$269 - $360	110%
International Medical Card	$275	113%
Menonita Comercial	$300	123%
Medical Card System	$360	148%
Mapfre	$400	164%
Fondo Seguro Estado	$411	169%
Humana	$412 - $619	169%
Privado	$414	170%
Palic	$450	185%
Prossam	$450	185%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $175.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mayaguez Medical Center Dr Ramon Emeterio Betances is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.