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

Ambetter pricing summary

Low

$43

Average

$491

Median

$183

High

$7.7k

Ambetter rate distribution

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629 hospital rates

#		Plans
1	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$139	$139	—	—	3–30	$139 – $139
2	Lake Regional Health System Osage Beach, MO fee schedule · both	1	$150	$150	—	—	2–20	$150 – $150
3	Columbus Regional Hospital Columbus, IN other · both	1	$111	$111	—	—	1–10	$111 – $111
4	Mercy Hospital Fort Smith Smith, AR facility · other · outpatient	1	$142	$142	—	—	1–10	$142 – $142
5	Mercy Hospital Fort Smith Smith, AR facility · other · outpatient	1	$142	$142	—	—	1–10	$142 – $142
6	Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient	1	$133	$133	—	—	1–10	$133 – $133
7	Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges	1	$456	$456	—	—	1–10	$456 – $456
8	OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient	1	$81	$81	—	—	1–10	$81 – $81
9	PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both	1	$183	$183	—	—	1–10	$183 – $183
10	PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both	1	$183	$183	—	—	1–10	$183 – $183
11	PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both	1	$183	$183	—	—	1–10	$183 – $183
12	PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both	1	$180	$180	—	—	1–10	$180 – $180
13	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient	1	$238	$238	—	—	1–10	$238 – $238
14	The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges	2	$896	$896	$94	10%	1–10	$803 – $990
15	The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges	1	$773	$773	—	—	1–10	$773 – $773
16	The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges	1	$397	$397	—	—	1–10	$397 – $397
17	Virtua_Memorial_Hospital_Inc \| Holly, NJ case rate · outpatient	1	$244	$244	—	—	1–10	$244 – $244
18	Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ case rate · outpatient	1	$244	$244	—	—	1–10	$244 – $244
19	ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
20	Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient	1	$161	$161	—	—	—	$161 – $161
21	Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient	1	$161	$161	—	—	—	$161 – $161
22	Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient	1	$161	$161	—	—	—	$161 – $161
23	Advocate Condell Medical Center Libertyville, IL case rate · outpatient	1	$161	$161	—	—	—	$161 – $161
24	Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient	1	$161	$161	—	—	—	$161 – $161
25	Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient	1	$161	$161	—	—	—	$161 – $161

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← Payers reporting CPT 74150 · Snapshot 20261111T120946Z-9134e7f7

CPT 74150