CT scan of abdomen and pelvis without contrast at Benefis Hospitals Inc

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

CT Abdomen & Pelvis W/O Contrast Material

Falls, MT

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How this price compares nationally

Benefis Hospitals Inc’s median price of $244 is 54% below the median hospital's median price ($524), higher than 14% 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 Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 12 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	Cigna bhs hb allegiance fee schedule · outpatient	$152.35	$152.35	$152.35 – $152.35
2	Healthpartners bhs hb allegiance fee schedule · outpatient	$152.35	$152.35	$152.35 – $152.35
3	Kaiser bhs hb allegiance fee schedule · outpatient	$152.35	$152.35	$152.35 – $152.35
4	Medical Mutual bhs hb allegiance fee schedule · outpatient	$152.35	$152.35	$152.35 – $152.35
5	Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient	$236.82	$236.82	$236.82 – $236.82
6	Tricare bhs hb tricare other · outpatient	$241.72	$241.72	$241.72 – $241.72
7	Aetna bhs hb medicare other · outpatient	$243.77	$243.77	$243.77 – $243.77
8	Anthem bhs hb medicare other · outpatient	$243.77	$243.77	$243.77 – $243.77
9	Blue Cross Blue Shield bhs hb medicare other · outpatient	$243.77	$243.77	$243.77 – $243.77
10	Kaiser bhs hb medicare other · outpatient	$243.77	$243.77	$243.77 – $243.77
11	Medicare bhs hb medicare other · outpatient	$243.77	$243.77	$243.77 – $243.77
12	WellCare bhs hb medicare other · outpatient	$243.77	$243.77	$243.77 – $243.77
13	Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient	$675.05	$675.05	$675.05 – $675.05
14	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$900.07	$900.07	$900.07 – $900.07
15	Blue Cross Blue Shield bhs hb bcbs healthlink ppo fee schedule · outpatient	$900.07	$900.07	$900.07 – $900.07
16	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$1,681	$1,161	$122.20 – $1,681
17	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$1,940	$1,340	$141.00 – $1,940
18	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$2,069	$1,429	$150.40 – $2,069
19	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$2,105	$1,454	$153.03 – $2,105
20	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$2,198	$1,519	$159.80 – $2,198
21	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges	$2,198	$1,519	$159.80 – $2,198
22	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · inpatientfrom % of charges	$2,224	$1,537	$161.68 – $2,224
23	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$2,327	$1,608	$169.20 – $2,327
24	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$2,327	$1,608	$169.20 – $2,327
25	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$2,327	$1,608	$169.20 – $2,327

Page 1 of 2 · 29 rates

Last updated: Mar 26, 2026

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