CT scan of abdomen and pelvis without contrast at Alton Memorial Hospital

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 Abd & Pelvis W/O Con

Alton, IL

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How this price compares nationally

Alton Memorial Hospital’s median price of $1.6k is 205% above the median hospital's median price ($524), higher than 78% 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 Alton Memorial Hospital

Negotiated rates from the hospital’s own file: 11 payers, 29 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	Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both	$225.02	$225.02	$225.02 – $225.02
2	Blue Cross Blue Shield bjc hb anthem access community fee schedule · both	$226.32	$226.32	$226.32 – $226.32
3	Aetna bjc hb medicare advantra amh other · both	$255.69	$255.69	$255.69 – $255.69
4	Aetna bjc hb medicare gold advantage amh other · both	$255.69	$255.69	$255.69 – $255.69
5	Blue Cross Blue Shield bjc hb medicare anthem advantage amh other · both	$255.69	$255.69	$255.69 – $255.69
6	Humana bjc hb medicare humana amh other · both	$255.69	$255.69	$255.69 – $255.69
7	UnitedHealthcare bjc hb medicare uhc amh other · both	$255.69	$255.69	$255.69 – $255.69
8	Devoted bjc hb medicare devoted amh other · both	$268.47	$268.47	$268.47 – $268.47
9	Medica bjc hb medicare wellfirst amh other · both	$268.47	$268.47	$268.47 – $268.47
10	Cigna bjc hb cigna local plus community per diem · both	$597.00	$597.00	$597.00 – $597.00
11	Aetna bjc hb aetna commercial community fee schedule · both	$872.28	$872.28	$872.28 – $872.28
12	Cigna bjc hb cigna hmo/ppo community per diem · both	$916.00	$916.00	$916.00 – $916.00
13	Cigna bjc hb cigna special community per diem · both	$920.00	$920.00	$920.00 – $920.00
14	UnitedHealthcare bjc hb united health care community per diem · both	$1,009	$1,009	$1,009 – $1,009
15	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$2,160	$2,160	$2,160 – $2,160
16	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$2,160	$2,160	$2,160 – $2,160
17	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$2,160	$2,160	$2,160 – $2,160
18	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$2,160	$2,160	$2,160 – $2,160
19	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$2,180	$2,180	$2,180 – $2,180
20	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$2,180	$2,180	$2,180 – $2,180
21	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$2,180	$2,180	$2,180 – $2,180
22	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$2,180	$2,180	$2,180 – $2,180
23	Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges	$2,326	$2,326	$2,326 – $2,326
24	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$2,326	$2,326	$2,326 – $2,326
25	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$2,326	$2,326	$2,326 – $2,326

Page 1 of 2 · 29 rates

Last updated: Dec 15, 2025

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