CT scan of abdomen and pelvis without contrast at Grinnell Regional Medical Center

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

HC CT ABD & PELVIS WO CONTRAST

Grinnell, IA

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How this price compares nationally

Grinnell Regional Medical Center’s median price of $230 is 56% below the median hospital's median price ($524), higher than 10% 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 Grinnell Regional Medical Center

Negotiated rates from the hospital’s own file: 7 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	Aetna medicare advantage fee schedule · both	$92.44	$112.34	$76.07 – $168.51
2	Molina medicare advantage fee schedule · both	$94.29	$114.59	$77.59 – $171.88
3	Wellmark medicare advantage fee schedule · both	$94.29	$114.59	$77.59 – $171.88
4	Humana medicare advantage fee schedule · both	$97.06	$117.96	$79.87 – $176.94
5	UnitedHealthcare medicare advantage fee schedule · both	$97.06	$117.96	$79.87 – $176.94
6	UnitedHealthcare hmo fee schedule · both	$134.48	$163.55	$110.84 – $245.32
7	UnitedHealthcare ppo fee schedule · both	$134.48	$163.55	$110.84 – $245.32
8	Aetna medicare advantage case rate · outpatient	$230.12	$230.12	$230.12 – $230.12
9	Molina medicare advantage case rate · outpatient	$230.12	$230.12	$230.12 – $230.12
10	Wellmark medicare advantage case rate · outpatient	$230.12	$230.12	$230.12 – $230.12
11	Humana medicare advantage case rate · outpatient	$236.89	$236.89	$236.89 – $236.89
12	UnitedHealthcare medicare advantage case rate · outpatient	$236.89	$236.89	$236.89 – $236.89
13	Wellmark commercial fee schedule · both	$201.50	$239.13	$157.20 – $358.70
14	Wellmark hmo fee schedule · both	$201.50	$239.13	$157.20 – $358.70
15	Cigna commercial fee schedule · both	$199.65	$240.28	$160.78 – $360.42
16	Wellmark ppo fee schedule · both	$237.10	$281.37	$185.00 – $422.00
17	Aetna hmo fee schedule · both	$268.07	$310.06	$197.02 – $465.08
18	Aetna ppo fee schedule · both	$318.99	$363.66	$226.50 – $545.50
19	UnitedHealthcare hmo fee schedule · outpatient	$460.26	$460.26	$460.26 – $460.26
20	UnitedHealthcare ppo fee schedule · outpatient	$460.26	$460.26	$460.26 – $460.26
21	Medica commercial percent of total billed charges · outpatientfrom % of charges	$999.79	$999.79	$943.44 – $1,056
22	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$1,635	$1,635	$1,635 – $1,635
23	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$1,635	$1,635	$1,635 – $1,635
24	UnitedHealthcare hmo percent of total billed charges · inpatientfrom % of charges	$1,908	$1,908	$1,908 – $1,908
25	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$1,908	$1,908	$1,908 – $1,908

Page 1 of 2 · 29 rates

Last updated: Jan 28, 2026

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