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
CT ABDOMEN&PELVIS WO CNT
Payson, AZ
See all hospitals reporting CPT 74176 →Price type
Banner Payson Medical Center’s median price of $729 is 39% above the median hospital's median price ($524), higher than 60% 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: 8 payers, 23 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 banner employee plans facility · per diem · outpatient | $341.00 | $341.00 | $341.00 – $341.00 |
| 2 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $585.43 | $585.43 | $585.43 – $585.43 |
| 3 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $624.46 | $624.46 | $624.46 – $624.46 |
| 4 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $655.68 | $655.68 | $655.68 – $655.68 |
| 5 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $687.57 | $687.57 | $687.57 – $687.57 |
| 6 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $687.57 | $687.57 | $687.57 – $687.57 |
| 7 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $687.57 | $687.57 | $687.57 – $687.57 |
| 8 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $687.57 | $687.57 | $687.57 – $687.57 |
| 9 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $687.57 | $687.57 | $687.57 – $687.57 |
| 10 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $728.82 | $728.82 | $728.82 – $728.82 |
| 11 | Bcbs Az bcbsaz medicare facility · fee schedule · outpatient | $745.55 | $745.55 | $745.55 – $745.55 |
| 12 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $756.33 | $756.33 | $756.33 – $756.33 |
| 13 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $780.57 | $780.57 | $780.57 – $780.57 |
| 14 | Bcbs Az commercial facility · fee schedule · outpatient | $780.57 | $780.57 | $780.57 – $780.57 |
| 15 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $888.81 | $888.81 | $888.81 – $888.81 |
| 16 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $935.77 | $935.77 | $935.77 – $935.77 |
| 17 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1,078 | $1,078 | $1,078 – $1,078 |
| 18 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,078 | $1,078 | $1,078 – $1,078 |
| 19 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $1,110 | $1,110 | $1,110 – $1,110 |
| 20 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,124 | $1,124 | $1,124 – $1,124 |
| 21 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,134 | $1,134 | $1,134 – $1,134 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $1,335 | $1,335 | $1,335 – $1,335 |
| 23 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $1,335 | $1,335 | $1,335 – $1,335 |
Last updated: Mar 2, 2026
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