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 W/O CONTRAS
Rowlett, TX
See all hospitals reporting CPT 74176 →Price type
Baylor Scott & White Medical Center - Lake Pointe’s median price of $1.3k is 152% above the median hospital's median price ($524), higher than 73% 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: 10 payers, 28 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 | Superior Healthplan medicaid facility · fee schedule · outpatient | $188.11 | $188.11 | $188.11 – $188.11 |
| 2 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $201.28 | $201.28 | $201.28 – $201.28 |
| 3 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $227.71 | $227.71 | $227.71 – $227.71 |
| 4 | Humana medicare facility · fee schedule · outpatient | $239.69 | $239.69 | $239.69 – $239.69 |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $251.67 | $251.67 | $251.67 – $251.67 |
| 6 | Molina medicare advantage facility · fee schedule · outpatient | $251.67 | $251.67 | $251.67 – $251.67 |
| 7 | Superior Healthplan medicare facility · fee schedule · outpatient | $251.67 | $251.67 | $251.67 – $251.67 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $268.45 | $268.45 | $268.45 – $268.45 |
| 9 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $287.63 | $287.63 | $287.63 – $287.63 |
| 10 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $300.81 | $300.81 | $300.81 – $300.81 |
| 11 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $395.49 | $395.49 | $395.49 – $395.49 |
| 12 | Ambetter ambetter exchange facility · fee schedule · outpatient | $515.33 | $515.33 | $515.33 – $515.33 |
| 13 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $762.04 | $762.04 | $762.04 – $762.04 |
| 14 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $1,184 | $1,184 | $1,184 – $1,184 |
| 15 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $1,557 | $1,557 | $1,557 – $1,557 |
| 16 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $1,589 | $1,589 | $1,589 – $1,589 |
| 17 | Cigna local plus facility · fee schedule · outpatient | $1,673 | $1,673 | $1,673 – $1,673 |
| 18 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $1,678 | $1,678 | $1,678 – $1,678 |
| 19 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $1,766 | $1,766 | $1,766 – $1,766 |
| 20 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $1,832 | $1,832 | $1,832 – $1,832 |
| 21 | UnitedHealthcare charter facility · fee schedule · outpatient | $1,959 | $1,959 | $1,959 – $1,959 |
| 22 | UnitedHealthcare nexus facility · fee schedule · outpatient | $1,959 | $1,959 | $1,959 – $1,959 |
| 23 | Cigna hmo/ppo facility · fee schedule · outpatient | $1,968 | $1,968 | $1,968 – $1,968 |
| 24 | UnitedHealthcare commercial broad facility · fee schedule · outpatient | $2,177 | $2,177 | $2,177 – $2,177 |
| 25 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,243 | $3,243 | $3,243 – $3,243 |
Last updated: Jun 29, 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.