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 SCAN, ABDOMEN AND PELVIS W/O CONTRAST
Grand Rapids, MN
See all hospitals reporting CPT 74176 →Price type
Grand Itasca Clinic and Hospital’s median price of $259 is 51% below the median hospital's median price ($524), higher than 19% 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, 54 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 | Medica accessability professional · fee schedule · both | $82.01 | $94.88 | $60.31 – $142.33 |
| 2 | Medica managed medicaid professional · fee schedule · both | $82.01 | $94.88 | $60.31 – $142.33 |
| 3 | Medica medicare advantage non-snp professional · fee schedule · both | $82.01 | $94.88 | $60.31 – $142.33 |
| 4 | Bcbs Mn pmap professional · fee schedule · both | $87.75 | $101.52 | $64.53 – $152.29 |
| 5 | Ucare pmap professional · fee schedule · both | $103.63 | $103.63 | $62.17 – $145.08 |
| 6 | Medica msho-dual/medicare advantage snp professional · fee schedule · both | $101.98 | $119.12 | $76.70 – $178.68 |
| 7 | Sanford Health Plan medicare advantage professional · fee schedule · both | $101.98 | $119.12 | $76.70 – $178.68 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $101.98 | $119.12 | $76.70 – $178.68 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $101.98 | $119.12 | $76.70 – $178.68 |
| 10 | Bcbs Mn medicare advantage professional · fee schedule · both | $106.06 | $123.89 | $79.77 – $185.83 |
| 11 | Ucare medicare advantage/msho professional · fee schedule · both | $107.08 | $125.08 | $80.54 – $187.61 |
| 12 | Bcbs Mn pmap facility · fee schedule · outpatient | $181.84 | $181.84 | $181.84 – $181.84 |
| 13 | Sanford Health Plan commercial professional · percent of total billed charges · bothfrom % of charges | $209.68 | $209.68 | $209.68 – $209.68 |
| 14 | Ucare pmap facility · other · inpatient | $218.85 | $218.85 | $218.85 – $218.85 |
| 15 | Sanford Health Plan medicare advantage facility · fee schedule · outpatient | $243.25 | $243.25 | $243.25 – $243.25 |
| 16 | Ucare medicare advantage/msho facility · fee schedule · outpatient | $243.25 | $243.25 | $243.25 – $243.25 |
| 17 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $243.25 | $243.25 | $243.25 – $243.25 |
| 18 | WellCare medicare advantage facility · fee schedule · outpatient | $243.25 | $243.25 | $243.25 – $243.25 |
| 19 | Bcbs Mn medicare advantage facility · other · inpatient | $246.36 | $246.36 | $246.36 – $246.36 |
| 20 | Medica medicare advantage non-snp facility · other · inpatient | $248.26 | $248.26 | $248.26 – $248.26 |
| 21 | Ucare medicare advantage/msho facility · other · inpatient | $248.26 | $248.26 | $248.26 – $248.26 |
| 22 | Bcbs Mn medicare advantage facility · fee schedule · outpatient | $252.98 | $252.98 | $252.98 – $252.98 |
| 23 | Medica msho-dual/medicare advantage snp facility · other · inpatient | $254.06 | $254.06 | $254.06 – $254.06 |
| 24 | UnitedHealthcare medicare advantage facility · other · inpatient | $254.06 | $254.06 | $254.06 – $254.06 |
| 25 | WellCare medicare advantage facility · other · inpatient | $254.06 | $254.06 | $254.06 – $254.06 |
Last updated: Jan 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.