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.
Original text from hospital filings
HC CT ABD & PELVIS WO CONTRAST
Waterloo, IA
See all hospitals reporting CPT 74176 →Price type
Allen Memorial Hospital Corporation’s median price of $201 is 62% below the median hospital's median price ($524), higher than 6% of the 2,634 hospitals reporting CPT 74176. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 | Aetna medicare advantage fee schedule · both | $92.44 | $112.34 | $76.07 – $168.51 |
| 2 | Molina medicare advantage fee schedule · both | $94.29 | $114.59 | $77.59 – $171.88 |
| 3 | Wellmark medicare advantage fee schedule · both | $94.29 | $114.59 | $77.59 – $171.88 |
| 4 | Humana medicare advantage fee schedule · both | $97.06 | $117.96 | $79.87 – $176.94 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $97.06 | $117.96 | $79.87 – $176.94 |
| 6 | UnitedHealthcare hmo fee schedule · both | $134.48 | $163.55 | $110.84 – $245.32 |
| 7 | UnitedHealthcare ppo fee schedule · both | $134.48 | $163.55 | $110.84 – $245.32 |
| 8 | Aetna medicare advantage case rate · outpatient | $227.32 | $227.32 | $227.32 – $227.32 |
| 9 | Molina medicare advantage case rate · outpatient | $227.32 | $227.32 | $227.32 – $227.32 |
| 10 | Wellmark medicare advantage case rate · outpatient | $227.32 | $227.32 | $227.32 – $227.32 |
| 11 | Humana medicare advantage case rate · outpatient | $234.01 | $234.01 | $234.01 – $234.01 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $234.01 | $234.01 | $234.01 – $234.01 |
| 13 | Wellmark commercial fee schedule · both | $201.50 | $239.13 | $157.20 – $358.70 |
| 14 | Wellmark hmo fee schedule · both | $201.50 | $239.13 | $157.20 – $358.70 |
| 15 | Cigna commercial fee schedule · both | $199.65 | $240.28 | $160.78 – $360.42 |
| 16 | Wellmark ppo fee schedule · both | $237.10 | $281.37 | $185.00 – $422.00 |
| 17 | Aetna hmo fee schedule · both | $273.43 | $316.26 | $200.96 – $474.38 |
| 18 | Aetna ppo fee schedule · both | $318.99 | $363.66 | $226.50 – $545.50 |
| 19 | Aetna hmo fee schedule · outpatient | $536.74 | $536.74 | $536.74 – $536.74 |
| 20 | Aetna ppo fee schedule · outpatient | $558.42 | $558.42 | $558.42 – $558.42 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $658.72 | $658.72 | $658.72 – $658.72 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $658.72 | $658.72 | $658.72 – $658.72 |
| 23 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $1,301 | $1,301 | $1,228 – $1,374 |
| 24 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $1,687 | $1,687 | $1,687 – $1,687 |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $1,687 | $1,687 | $1,687 – $1,687 |
Last updated: Jan 28, 2026
See CT scan of abdomen and pelvis without contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.