CT scan of abdomen and pelvis with 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/Contrast|PROFESSIONAL COMPONENT

Payers reporting CPT 74177

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	813	$601.74	$722.67	$1.00 – $13,461
2	Aetna fee schedule · outpatient · +39 other terms	643	$517.88	$1,028	$0.51 – $26,866
3	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	547	$787.25	$952.04	$0.61 – $22,368
4	Humana fee schedule · outpatient · +35 other terms	460	$390.10	$706.27	$1.10 – $12,511
5	Cigna fee schedule · outpatient · +36 other terms	364	$737.19	$995.51	$1.00 – $14,958
6	Molina fee schedule · outpatient · +35 other terms	266	$374.18	$410.21	$1.05 – $4,389
7	Anthem fee schedule · outpatient · +36 other terms	217	$686.99	$620.04	$8.29 – $7,739
8	WellCare fee schedule · outpatient · +28 other terms	204	$378.16	$415.06	$65.41 – $2,218
9	MultiPlan fee schedule · outpatient · +25 other terms	137	$4,151	$3,951	$110.71 – $16,772
10	Ambetter fee schedule · outpatient · +26 other terms	123	$542.10	$552.81	$39.63 – $4,520
11	Devoted facility · fee schedule · outpatient · +20 other terms	113	$349.93	$397.49	$301.79 – $4,896
12	Kaiser fee schedule · outpatient · +30 other terms	112	$581.67	$1,057	$85.16 – $12,826
13	Tricare facility · fee schedule · outpatient · +21 other terms	97	$350.65	$579.57	$48.95 – $5,633
14	Caresource fee schedule · outpatient · +23 other terms	95	$375.11	$552.32	$1.08 – $2,256
15	Aetna Better Health fee schedule · outpatient · +19 other terms	90	$343.54	$362.69	$178.22 – $1,295
16	Highmark facility · fee schedule · outpatient · +24 other terms	90	$498.54	$672.66	$64.86 – $3,677
17	Medica fee schedule · outpatient · +30 other terms	85	$325.30	$1,164	$69.35 – $6,718
18	Optum facility · fee schedule · outpatient · +28 other terms	71	$342.90	$377.93	$300.68 – $2,242
19	Oscar facility · fee schedule · outpatient · +24 other terms	70	$509.98	$505.84	$326.10 – $1,233
20	First Health fee schedule · outpatient · +24 other terms	64	$890.31	$2,381	$102.19 – $16,772
21	Medicaid facility · fee schedule · outpatient · +21 other terms	63	$273.67	$276.75	$188.51 – $571.75
22	Amerihealth Caritas facility · fee schedule · outpatient · +20 other terms	57	$334.21	$392.86	$192.73 – $985.51
23	Medicare other · both · +23 other terms	53	$369.11	$507.66	$326.06 – $3,617
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	43	$356.65	$375.72	$312.08 – $633.52
25	Clover facility · fee schedule · outpatient · +16 other terms	36	$367.43	$360.09	$303.69 – $420.58

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