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
PR CT ABDOM & PELVIS W/O CONTRAST
West Bloomfield, MI
See all hospitals reporting CPT 74176 →Price type
Henry Ford Health System’s median price of $81 is 85% below the median hospital's median price ($524), higher than 0% 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: 10 payers, 67 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 medicaid-behavioral health-adult-fac professional · fee schedule · outpatient | $50.91 | $50.91 | $50.91 – $50.91 |
| 2 | UnitedHealthcare medicaid-behavioral health-adult-nonfac professional · fee schedule · outpatient | $50.91 | $50.91 | $50.91 – $50.91 |
| 3 | UnitedHealthcare medicaid-behavioral health-child-fac professional · fee schedule · outpatient | $50.91 | $50.91 | $50.91 – $50.91 |
| 4 | UnitedHealthcare medicaid-behavioral health-child-nonfac professional · fee schedule · outpatient | $50.91 | $50.91 | $50.91 – $50.91 |
| 5 | Aetna Better Health medicaid hmo-adult-fac professional · fee schedule · outpatient | $51.93 | $51.93 | $51.93 – $51.93 |
| 6 | Aetna Better Health medicaid hmo-adult-nonfac professional · fee schedule · outpatient | $51.93 | $51.93 | $51.93 – $51.93 |
| 7 | Aetna Better Health medicaid hmo-child-fac professional · fee schedule · outpatient | $51.93 | $51.93 | $51.93 – $51.93 |
| 8 | Aetna Better Health medicaid hmo-child-nonfac professional · fee schedule · outpatient | $51.93 | $51.93 | $51.93 – $51.93 |
| 9 | Molina medicaid hmo-adult-fac professional · fee schedule · outpatient | $52.95 | $52.95 | $52.95 – $52.95 |
| 10 | Molina medicaid hmo-child-fac professional · fee schedule · outpatient | $52.95 | $52.95 | $52.95 – $52.95 |
| 11 | Molina medicaid hmo-child-nonfac professional · fee schedule · outpatient | $52.95 | $52.95 | $52.95 – $52.95 |
| 12 | Molina medicaid hmo-adult-nonfac professional · fee schedule · outpatient | $58.62 | $58.62 | $58.62 – $58.62 |
| 13 | Humana medicare advantage-np-fac professional · fee schedule · outpatient | $69.53 | $69.53 | $69.53 – $69.53 |
| 14 | Humana medicare advantage-np-nonfac professional · fee schedule · outpatient | $69.53 | $69.53 | $69.53 – $69.53 |
| 15 | UnitedHealthcare all products-midlevel professional · fee schedule · outpatient | $69.82 | $69.82 | $69.82 – $69.82 |
| 16 | Humana tricare-nonphysician-fac professional · fee schedule · outpatient | $74.51 | $74.51 | $74.51 – $74.51 |
| 17 | Humana tricare-physician-fac professional · fee schedule · outpatient | $74.51 | $74.51 | $74.51 – $74.51 |
| 18 | Amerihealth Caritas dual products-fac professional · fee schedule · outpatient | $79.57 | $79.57 | $79.57 – $79.57 |
| 19 | Amerihealth Caritas dual products-nonfac professional · fee schedule · outpatient | $79.57 | $79.57 | $79.57 – $79.57 |
| 20 | UnitedHealthcare medicare-behavioral health-nonfac professional · fee schedule · outpatient | $80.99 | $80.99 | $80.99 – $80.99 |
| 21 | Aetna medicare advantage-fac professional · fee schedule · outpatient | $81.19 | $81.19 | $81.19 – $81.19 |
| 22 | Aetna medicare advantage-nonfac professional · fee schedule · outpatient | $81.19 | $81.19 | $81.19 – $81.19 |
| 23 | Blue Cross Blue Shield bcn medicare advantage -fac professional · fee schedule · outpatient | $81.19 | $81.19 | $81.19 – $81.19 |
| 24 | Blue Cross Blue Shield bcn medicare advantage -nonfac professional · fee schedule · outpatient | $81.19 | $81.19 | $81.19 – $81.19 |
| 25 | Blue Cross Blue Shield medicare plus blue-fac professional · fee schedule · outpatient | $81.19 | $81.19 | $81.19 – $81.19 |
Last updated: Jun 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.