CT scan of abdomen without contrast dye

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT ABDOMEN W/O CONTRAST

Payers reporting CPT 74150

Payer pricing summary

Low

$90

Average

$1.2k

Median

$665

High

$13.6k

Payer rate distribution

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#
1	Medicare other · both · +22 other terms	51	$111	$163	$208	127%	231–519	$97 – $1.3k
2	Anthem fee schedule · outpatient · +35 other terms	225	$367	$338	$481	142%	33–204	$2 – $7.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	551	$280	$407	$541	133%	27–135	$1 – $10.4k
4	Bcbs Al facility · other · outpatient · +4 other terms	6	$166	$175	$28	16%	20–101	$103 – $201
5	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$244	$244	—	—	15	$244 – $244
6	WellCare fee schedule · outpatient · +28 other terms	192	$113	$146	$116	79%	13	$44 – $978
7	Aetna fee schedule · outpatient · +39 other terms	633	$184	$541	$611	113%	12–120	$1 – $4.5k
8	UnitedHealthcare fee schedule · outpatient · +39 other terms	798	$196	$296	$434	147%	7–70	$1 – $4.1k
9	Cigna fee schedule · outpatient · +35 other terms	359	$302	$616	$681	111%	7–70	$31 – $5.4k
10	Molina fee schedule · outpatient · +35 other terms	267	$128	$155	$125	80%	6–60	$1 – $1.7k
11	Humana fee schedule · outpatient · +35 other terms	448	$123	$304	$436	144%	4–40	$1 – $3.9k
12	Bcbs In other · both · +1 other terms	11	$381	$394	$62	16%	3–30	$254 – $507
13	Medica fee schedule · outpatient · +27 other terms	74	$791	$892	$844	95%	1–10	$45 – $3.1k
14	First Health fee schedule · outpatient · +23 other terms	64	$499	$929	$1.4k	155%	1–10	$67 – $7.3k
15	Premera facility · fee schedule · both · +19 other terms	25	$132	$257	$212	83%	1–10	$107 – $860
16	Medical Mutual fee schedule · outpatient · +20 other terms	18	$295	$347	$284	82%	1–10	$91 – $1.3k
17	MultiPlan fee schedule · outpatient · +24 other terms	138	$1.9k	$1.7k	$1.6k	97%	—	$1 – $7.3k
18	Ambetter fee schedule · outpatient · +25 other terms	123	$169	$180	$223	124%	—	$43 – $2.0k
19	Devoted facility · fee schedule · outpatient · +20 other terms	114	$105	$126	$302	239%	—	$90 – $4.9k
20	Kaiser fee schedule · outpatient · +29 other terms	112	$219	$445	$778	175%	—	$56 – $5.5k
21	Tricare facility · fee schedule · outpatient · +22 other terms	99	$105	$166	$395	239%	—	$49 – $4.6k
22	Caresource fee schedule · outpatient · +22 other terms	97	$159	$207	$161	78%	—	$1 – $995
23	Aetna Better Health fee schedule · outpatient · +19 other terms	89	$115	$126	$58	46%	—	$56 – $439
24	Highmark facility · fee schedule · outpatient · +23 other terms	77	$175	$301	$403	134%	—	$42 – $2.1k
25	Optum facility · fee schedule · outpatient · +26 other terms	70	$102	$113	$63	56%	—	$90 – $672

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