CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Rehabilitation Hospital of Rhode Island

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $4,409
  • Cash Discount Price: $4,409
  • vs. Medicare Baseline: 18.09x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Rehabilitation Hospital of Rhode Island is $4,409. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,409. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.09x the Medicare baseline. Located in 116 Eddie Dowling Hwy, North Smithfield, RI.
Cash / Self-Pay
$4,409

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,409

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: $4,409 (1809%)
Insurance Median: $4,409 (1809%)
Cash: $4,409 (1809% of Medicare)
Ins. Median: $4,409 (1809% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1809% of the Medicare baseline (a markup of 1709%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $4,409 1809%
Ambetter / Centene $4,409 1809%
Blue Cross Blue Shield $4,409 1809%
Cigna $4,409 1809%
Essence $4,409 1809%
Healthlink Hmo $4,409 1809%
Healthlink Ppo $4,409 1809%
Healthy Blue (Missouri Care) $4,409 1809%
Homestate Health Plan $4,409 1809%
Humana $4,409 1809%
Medica $4,409 1809%
Medicaid / KanCare $4,409 1809%
Meritain Health Cpd $4,409 1809%
Meritain Health Ppo Cpd $4,409 1809%
Starmark Cpd $4,409 1809%
Tricare $4,409 1809%
UnitedHealthcare $4,409 1809%
Wellcare $4,409 1809%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 116 Eddie Dowling Hwy, North Smithfield, RI 02896
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL