CPT 72191
The standard charge for CTA scan of pelvis is $551.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
4422 Third Avenue, Bronx, NY, 10457CONTACT
718-960-3815 Visit WebsiteSt. Barnabas Hospital is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, St. Barnabas Hospital provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-St. Barnabas Hospital physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 718-960-3815.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$551.00Insurance Discount
-$247.95Price Negotiated by Insurer
$303.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$10.45HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$303.05HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$303.05HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$91.30HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$694.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$14.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$326.93Price Negotiated by Insurer
$224.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$225.56HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$217.74HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$72.58HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$326.93Price Negotiated by Insurer
$224.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$225.56HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$217.74HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$72.58HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$137.75Price Negotiated by Insurer
$413.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$14.25HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$413.25HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$413.25HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$124.50HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$874.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$19.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Price Negotiated by Insurer
$724.45Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$13.21HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$724.45HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$724.45HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$132.80HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$792.81HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$17.96This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Price Negotiated by Insurer
$609.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$11.12HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$609.79HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$609.79HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$112.88HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$673.89HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$15.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$314.92Price Negotiated by Insurer
$236.08Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$236.43HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$210.92HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$72.58HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$525.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$275.50Price Negotiated by Insurer
$275.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$275.50HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$275.50HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$72.58HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$525.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$358.15Price Negotiated by Insurer
$192.85Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$192.85HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$192.85HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$72.58HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$525.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$275.50Price Negotiated by Insurer
$275.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$275.50HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$275.50HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$72.58HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$275.50Price Negotiated by Insurer
$275.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$275.50HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$275.50HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$72.58HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$314.92Price Negotiated by Insurer
$236.08Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$3.20HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$236.43HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$210.92HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$7.60HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$165.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Price Negotiated by Insurer
$756.11Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.20HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$762.82HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$765.47HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$22.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$280.18Price Negotiated by Insurer
$270.82Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$9.85HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$270.82HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$270.82HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$101.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$569.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$13.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$551.00Insurance Discount
-$214.95Price Negotiated by Insurer
$336.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPLETE CBC W/ AUTO DIFF WBC
$3.20HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST
$339.03HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT
$340.21HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD
$68.95HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$711.64HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.