CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Manati Medical Center Dr Otero Lopez

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $450
Cash Discount Price: $500
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Manati Medical Center Dr Otero Lopez is $450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.85x the Medicare baseline. Located in Carr 668 Calle Hernandez Carrion Urb Atenas, Manati, PR.

Cash / Self-Pay

$500

Average discount available for prompt cash payment at this facility.

Insurance Median

$450

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: $500 (205%)

Insurance Median: $450 (185%)

Cash: $500 (205% of Medicare)

Ins. Median: $450 (185% 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)	$79	32%
Acaa	$268	110%
Menonita Comercial	$300	123%
McS Classicare	$360	148%
Medical Card System	$360	148%
International Medical Card	$412	169%
Triple S	$416 - $450	171%
Triple S Com	$425 - $450	174%
Plan Vital	$436 - $457	179%
Mmm	$450	185%
Mapfre	$600	246%
Humana	$619	254%
Palic	$675	277%
Prossam	$900	369%

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 $500.
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 Manati Medical Center Dr Otero Lopez 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.