CT scan of abdomen and pelvis without contrast

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

PR CT Abdomen & Pelvis W/O Contrast|PROFESSIONAL COMPONENT

Payers reporting CPT 74176

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +40 other terms	814	$398.97	$539.40	$1.00 – $8,615
2	Aetna fee schedule · outpatient · +39 other terms	644	$314.54	$815.03	$1.00 – $11,318
3	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	551	$463.12	$610.41	$1.00 – $18,684
4	Humana fee schedule · outpatient · +35 other terms	460	$264.84	$541.68	$1.10 – $10,509
5	Cigna fee schedule · outpatient · +36 other terms	370	$518.84	$872.73	$45.45 – $11,318
6	Molina fee schedule · outpatient · +35 other terms	267	$253.47	$279.69	$1.05 – $3,548
7	Anthem fee schedule · outpatient · +35 other terms	224	$499.16	$475.07	$6.21 – $7,739
8	WellCare fee schedule · outpatient · +28 other terms	208	$258.34	$297.65	$64.95 – $1,874
9	MultiPlan fee schedule · outpatient · +24 other terms	137	$3,439	$3,338	$105.72 – $12,126
10	Ambetter fee schedule · outpatient · +26 other terms	122	$378.76	$381.83	$38.05 – $4,294
11	Devoted facility · fee schedule · outpatient · +20 other terms	114	$239.32	$271.43	$206.40 – $4,881
12	Kaiser fee schedule · outpatient · +31 other terms	112	$404.04	$748.50	$81.32 – $10,495
13	Tricare facility · fee schedule · outpatient · +21 other terms	98	$239.69	$340.07	$88.09 – $4,590
14	Caresource fee schedule · outpatient · +23 other terms	95	$247.46	$340.33	$1.08 – $1,834
15	Highmark facility · fee schedule · outpatient · +23 other terms	95	$312.19	$483.50	$61.51 – $3,180
16	Aetna Better Health fee schedule · outpatient · +20 other terms	90	$204.97	$229.38	$101.10 – $876.25
17	Medica fee schedule · outpatient · +29 other terms	85	$158.20	$948.54	$66.25 – $6,315
18	Oscar facility · fee schedule · outpatient · +23 other terms	70	$342.43	$329.57	$133.70 – $448.35
19	Optum facility · fee schedule · outpatient · +27 other terms	69	$230.72	$254.23	$193.89 – $1,533
20	First Health fee schedule · outpatient · +23 other terms	64	$820.61	$1,842	$97.58 – $11,237
21	Medicaid facility · fee schedule · outpatient · +20 other terms	63	$188.11	$182.27	$88.54 – $385.70
22	Amerihealth Caritas facility · fee schedule · outpatient · +20 other terms	57	$213.73	$296.94	$101.07 – $692.90
23	Medicare other · both · +22 other terms	53	$252.44	$349.01	$221.34 – $2,306
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	43	$241.39	$251.12	$188.11 – $381.86
25	Regence facility · fee schedule · outpatient · +23 other terms	40	$864.00	$526.35	$167.24 – $934.00

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