CT scan of abdomen and pelvis without contrast at Alice Hyde Medical Center

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

CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL

Malone, NY

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How this price compares nationally

Alice Hyde Medical Center’s median price of $177 is 66% below the median hospital's median price ($524), higher than 5% of the 2,634 hospitals reporting CPT 74176. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74176 at Alice Hyde Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Excellus managed medicaid/essential plans professional · fee schedule · both	$113.90	$113.90	$62.60 – $165.20
2	Aetna medicare advantage professional · fee schedule · both	$127.51	$127.51	$78.32 – $176.69
3	Excellus medicare advantage professional · fee schedule · both	$127.51	$127.51	$78.32 – $176.69
4	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$127.74	$127.74	$127.74 – $127.74
5	Humana tricare professional · fee schedule · both	$147.70	$147.70	$147.70 – $147.70
6	UnitedHealthcare managed medicaid/essential plans professional · percent of total billed charges · bothfrom % of charges	$168.88	$168.88	$38.15 – $299.60
7	UnitedHealthcare medicare advantage professional · percent of total billed charges · bothfrom % of charges	$168.88	$168.88	$38.15 – $299.60
8	Excellus commercial professional · fee schedule · both	$191.31	$191.31	$117.09 – $265.52
9	Aetna commercial professional · fee schedule · both	$211.79	$211.79	$129.63 – $293.94
10	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$255.83	$264.34	$146.45 – $399.25
11	UnitedHealthcare commercial professional · fee schedule · both	$308.98	$308.98	$189.31 – $428.65
12	Highmark ind/fep/ppo/hmo professional · percent of total billed charges · bothfrom % of charges	$472.85	$472.85	$106.82 – $838.88
13	Excellus commercial facility · fee schedule · outpatient	$824.31	$824.31	$824.31 – $824.31
14	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,531	$1,531	$1,531 – $1,531
15	Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,531	$1,531	$1,531 – $1,531
16	Humana tricare facility · percent of total billed charges · outpatientfrom % of charges	$1,531	$1,531	$1,531 – $1,531
17	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,531	$1,531	$1,531 – $1,531
18	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,032	$4,032	$4,032 – $4,032
19	Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges	$4,157	$4,157	$4,157 – $4,157
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$4,352	$4,352	$4,352 – $4,352

Last updated: Sep 8, 2026

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