CT scan, abdomen and pelvis (no contrast)
Facility: Hackensack Meridian Mountainside Medical
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $2,529
- Cash Discount Price: $312
- vs. Medicare Baseline: 10.37x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1037% of the Medicare baseline (a markup of 937%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthscope Benefits [2290] | $312 - $2,529 | 128% |
| UnitedHealthcare | $312 | 128% |
| Aetna | $455 | 187% |
| Healthcare Highways [2210] | $1,220 - $2,529 | 500% |
| Web Tpa [2115] | $1,220 | 500% |
| Medicare (plans) | $1,220 | 500% |
| Selecthealth [3740] | $1,220 | 500% |
| Wtc Healthcare Sme Karna [8005] | $1,220 | 500% |
| Worker's Comp [2125] | $1,220 - $2,764 | 500% |
| Black Lung [6055] | $1,220 | 500% |
| Lucent Health [6000] | $1,220 | 500% |
| Oncology Patient Assistance Programs [2295] | $1,220 | 500% |
| Create Flex / Select [3580] | $1,220 | 500% |
| First Health [1375] | $2,231 - $2,529 | 915% |
| Cigna | $2,380 | 976% |
| Healthcost Solutions [2415] | $2,529 | 1037% |
| Mayo Clinic Health Solutions [2280] | $2,529 | 1037% |
| New Era Life Insurance Company [1705] | $2,529 | 1037% |
| Healthnet [1495] | $2,529 | 1037% |
| Healthfirst [2395] | $2,529 | 1037% |
| Universal Fidelity [2085] | $2,529 | 1037% |
| Planned Administrators Inc [2360] | $2,529 | 1037% |
| Trustmark [2030] | $2,529 | 1037% |
| Administrative Concepts [1005] | $2,529 | 1037% |
| Multiplan [1680] | $2,529 | 1037% |
| Resource One Administrators [2815] | $2,529 | 1037% |
| PHCS [1780] | $2,529 | 1037% |
| Hometown Health [2155] | $2,529 | 1037% |
| Allied National Global Care [1035] | $2,529 | 1037% |
| Mutual of Omaha [1685] | $2,529 | 1037% |
| Pba [1775] | $2,529 | 1037% |
| Pan American Life Insurance Co [1770] | $2,529 | 1037% |
| Gilsbar [1425] | $2,529 | 1037% |
| Humana | $2,764 | 1134% |
| Emblem Health [2430] | $2,764 | 1134% |
| Mva [1690] | $2,975 | 1220% |