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 Abd & Pelvis W/O Contrast
DYER, IN
See all hospitals reporting CPT 74176 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $850 is 62% above the median hospital's median price ($524), higher than 63% 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, 58 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 | Medicare medicare part a & b [109993] other · both | $252.44 | $252.44 | $252.44 – $252.44 |
| 2 | Medicare medicare part b [109992] other · both | $252.44 | $252.44 | $252.44 – $252.44 |
| 3 | Medicare medicare-nir-dyer other · both | $252.44 | $252.44 | $252.44 – $252.44 |
| 4 | Bcbs In anthem blue access ppo-cid fee schedule · both | $262.30 | $262.30 | $262.30 – $262.30 |
| 5 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $262.30 | $262.30 | $262.30 – $262.30 |
| 6 | Medicaid anthem care connect [315015] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 7 | Medicaid anthem healthy indiana plan [301498] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 8 | Medicaid anthem medicaid [109201] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 9 | Medicaid anthem pathways for aging [324049] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 10 | Medicaid humana healthy horizons in indiana [324050] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 11 | Medicaid in mcd-nir-dyer fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 12 | Medicaid mdwise excel hhw [318029] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 13 | Medicaid mdwise excel hip [318028] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 14 | Medicaid medicaid in traditional [109206] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 15 | Medicaid united healthcare care connect [321005] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 16 | Medicaid united healthcare pathways for the aging [324051] fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 17 | Medicaid caresource hhw [316039] fee schedule · both | $420.45 | $420.45 | $420.45 – $420.45 |
| 18 | Medicaid caresource hip [316038] fee schedule · both | $420.45 | $420.45 | $420.45 – $420.45 |
| 19 | Medicaid in mcd dyer caresource 120% of in mcd fee schedule · both | $420.45 | $420.45 | $420.45 – $420.45 |
| 20 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $528.75 | $528.75 | $528.75 – $528.75 |
| 21 | Blue Cross Blue Shield anthem franciscan alliance employee ins [319071] other · both | $610.44 | $610.44 | $610.44 – $610.44 |
| 22 | Blue Cross Blue Shield anthem franciscan employee copps- all locations other · both | $610.44 | $610.44 | $610.44 – $610.44 |
| 23 | Blue Cross Blue Shield anthem healthsync hpn [322022] other · both | $635.12 | $635.12 | $635.12 – $635.12 |
| 24 | Blue Cross Blue Shield anthem healthsync [319068] other · both | $719.54 | $719.54 | $719.54 – $719.54 |
| 25 | Blue Cross Blue Shield anthem healthsync pos with copps - dyer other · both | $719.54 | $719.54 | $719.54 – $719.54 |
Last updated: Jan 1, 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.