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
CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL
Plattsburgh, NY
See all hospitals reporting CPT 74176 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $174 is 67% below the median hospital's median price ($524), higher than 5% 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, 38 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $54.26 | $54.26 | $54.26 – $54.26 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $62.60 | $62.60 | $62.60 – $62.60 |
| 3 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $69.77 | $69.77 | $69.77 – $69.77 |
| 4 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $69.77 | $69.77 | $69.77 – $69.77 |
| 5 | Blue Cross Blue Shield blue access professional · fee schedule · both | $74.22 | $74.22 | $74.22 – $74.22 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $77.52 | $77.52 | $77.52 – $77.52 |
| 7 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $77.52 | $77.52 | $77.52 – $77.52 |
| 8 | Excellus medicare advantage professional · fee schedule · both | $77.52 | $77.52 | $77.52 – $77.52 |
| 9 | Humana tricare professional · fee schedule · both | $77.52 | $77.52 | $77.52 – $77.52 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $77.52 | $77.52 | $77.52 – $77.52 |
| 11 | Blue Cross Blue Shield hmo professional · fee schedule · both | $78.58 | $78.58 | $78.58 – $78.58 |
| 12 | Blue Cross Blue Shield ind professional · fee schedule · both | $82.95 | $82.95 | $82.95 – $82.95 |
| 13 | Blue Cross Blue Shield ppo professional · fee schedule · both | $87.31 | $87.31 | $87.31 – $87.31 |
| 14 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $90.87 | $90.87 | $83.50 – $98.23 |
| 15 | Highmark ind/fep professional · fee schedule · both | $97.84 | $97.84 | $97.84 – $97.84 |
| 16 | Highmark ppo/hmo professional · fee schedule · both | $97.84 | $97.84 | $97.84 – $97.84 |
| 17 | Excellus commercial professional · fee schedule · both | $117.09 | $117.09 | $117.09 – $117.09 |
| 18 | Aetna commercial professional · fee schedule · both | $121.71 | $121.71 | $121.71 – $121.71 |
| 19 | Blue Cross Blue Shield individual network professional · fee schedule · both | $124.03 | $124.03 | $124.03 – $124.03 |
| 20 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $152.07 | $152.07 | $152.07 – $152.07 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $189.31 | $189.31 | $189.31 – $189.31 |
| 22 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $220.40 | $220.40 | $220.40 – $220.40 |
| 23 | Excellus medicare advantage facility · fee schedule · outpatient | $279.21 | $279.21 | $279.21 – $279.21 |
| 24 | Humana tricare facility · fee schedule · outpatient | $280.57 | $280.57 | $280.57 – $280.57 |
| 25 | Aetna medicare advantage facility · fee schedule · outpatient | $295.34 | $295.34 | $295.34 – $295.34 |
Last updated: Apr 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.