CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mayaguez Medical Center Dr Ramon Emeterio Betances

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $428
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mayaguez Medical Center Dr Ramon Emeterio Betances is $428. 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 $356.43, this hospital’s rate is 1.20x 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
$428

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: $175 (49%)
Insurance Median: $428 (120%)
Cash: $175 (49% of Medicare)
Ins. Median: $428 (120% 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
Medicare (plans) $94 26%
Acaa $275 77%
International Medical Card $275 77%
Plan Vital $319 - $457 89%
Salud Correccional $326 91%
Mapfre $400 112%
Privado $414 116%
McS Classicare $420 118%
Medical Card System $420 118%
Humana $428 - $641 120%
Menonita Comercial $450 126%
Mmm $450 126%
Palic $450 126%
Prossam $450 126%
Triple S $450 126%
Fondo Seguro Estado $638 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 2 Bo Sabalos, Mayaguez, PR 00682
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals