CT scan of abdomen and pelvis without contrast at Fairview 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

CT Abd Pelvis w/o Cntrst

Great Barrington, MA

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How this price compares nationally

Fairview Hospital’s median price of $1.6k is 214% above the median hospital's median price ($524), higher than 79% 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 Fairview Hospital

Negotiated rates from the hospital’s own file: 8 payers, 39 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	Medicaid mcd masshealth professional · fee schedule · outpatient	$147.32	$147.32	$147.32 – $147.32
2	Medicaid mcdmanaged medicaid acos professional · fee schedule · outpatient	$147.32	$147.32	$147.32 – $147.32
3	Aetna comm aetna professional · fee schedule · outpatient	$155.73	$155.73	$155.73 – $155.73
4	Medicare mcr traditional medicare professional · fee schedule · outpatient	$186.66	$186.66	$186.66 – $186.66
5	Medicare mcrmanaged medicare hmo professional · fee schedule · outpatient	$186.66	$186.66	$186.66 – $186.66
6	UnitedHealthcare mcrmanaged united vaccn professional · fee schedule · outpatient	$189.70	$189.70	$189.70 – $189.70
7	Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo professional · fee schedule · outpatient	$214.66	$214.66	$214.66 – $214.66
8	Medicaid mcd masshealth facility · fee schedule · outpatient	$385.70	$385.70	$385.70 – $385.70
9	Medicaid mcdmanaged medicaid acos facility · fee schedule · outpatient	$385.70	$385.70	$385.70 – $385.70
10	Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo facility · fee schedule · outpatient	$1,104	$1,104	$921.89 – $1,285
11	Medicare mcr traditional medicare facility · fee schedule · outpatient	$1,104	$1,104	$921.89 – $1,285
12	Medicare mcrmanaged medicare hmo facility · fee schedule · outpatient	$1,104	$1,104	$921.89 – $1,285
13	UnitedHealthcare mcrmanaged united vaccn facility · fee schedule · outpatient	$1,122	$1,122	$936.88 – $1,306
14	Blue Cross Blue Shield comm blue cross ma hmo facility · percent of total billed charges · outpatientfrom % of charges	$1,748	$1,748	$1,460 – $2,035
15	Blue Cross Blue Shield comm blue cross ma indem facility · percent of total billed charges · outpatientfrom % of charges	$1,950	$1,950	$1,629 – $2,272
16	Blue Cross Blue Shield comm blue cross ma ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,961	$1,961	$1,638 – $2,284
17	UnitedHealthcare comm united bh facility · percent of total billed charges · outpatientfrom % of charges	$1,970	$1,970	$1,646 – $2,295
18	UnitedHealthcare comm united bh professional · fee schedule · outpatient	$1,970	$1,970	$1,646 – $2,295
19	Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · outpatientfrom % of charges	$2,183	$2,183	$1,823 – $2,542
20	Aetna comm aetna facility · other · outpatient	$2,243	$2,243	$1,874 – $2,613
21	UnitedHealthcare comm united bh facility · percent of total billed charges · inpatientfrom % of charges	$2,295	$2,295	$2,295 – $2,295
22	Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · inpatientfrom % of charges	$2,542	$2,542	$2,542 – $2,542
23	Blue Cross Blue Shield comm blue cross vt ppo professional · fee schedule · outpatient	$2,577	$2,577	$2,152 – $3,001
24	UnitedHealthcare comm unitedhealthcare facility · percent of total billed charges · outpatientfrom % of charges	$2,607	$2,607	$2,178 – $3,036
25	UnitedHealthcare comm unitedhealthcare professional · fee schedule · outpatient	$2,607	$2,607	$2,178 – $3,036

Page 1 of 2 · 39 rates

Last updated: Oct 7, 2026

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