CT scan of abdomen and pelvis without contrast at Johnson Memorial 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

HC CT Abdomen & Pelvis W/O Contrast

Stafford Springs, CT

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How this price compares nationally

Johnson Memorial Hospital’s median price of $537 is 2% above the median hospital's median price ($524), higher than 51% 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 Johnson Memorial Hospital

Negotiated rates from the hospital’s own file: 16 payers, 24 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 aetna whole health facility · fee schedule · both	$278.10	$278.10	$278.10 – $278.10
2	Aetna aetna medicare advantage facility · other · both	$280.32	$280.32	$280.32 – $280.32
3	Anthem anthem mediblue medicare advantage facility · other · both	$280.32	$280.32	$280.32 – $280.32
4	UnitedHealthcare united healthcare medicare advantage facility · other · both	$280.32	$280.32	$280.32 – $280.32
5	WellCare wellcare medicare advantage facility · other · both	$286.04	$286.04	$286.04 – $286.04
6	Cigna cigna medicare advantage facility · other · both	$288.73	$288.73	$288.73 – $288.73
7	Aetna aetna facility · fee schedule · both	$348.18	$348.18	$348.18 – $348.18
8	UnitedHealthcare united healthcare facility · fee schedule · both	$372.86	$372.86	$372.86 – $372.86
9	Cigna cigna facility · fee schedule · both	$391.08	$391.08	$391.08 – $391.08
10	Anthem anthem individual pathway hmo ppo facility · fee schedule · both	$415.88	$415.88	$415.88 – $415.88
11	Anthem anthem bluecare prime facility · fee schedule · both	$482.95	$482.95	$482.95 – $482.95
12	Anthem anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
13	Blue Cross Blue Shield anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
14	Carefirst anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
15	Excellus anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
16	Highmark anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
17	Kaiser anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
18	Premera anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
19	Regence anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
20	Wellmark anthem facility · fee schedule · both	$536.61	$536.61	$536.61 – $536.61
21	Cigna evernorth facility · percent of total billed charges · bothfrom % of charges	$1,020	$1,020	$1,020 – $1,020
22	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$1,086	$1,086	$1,086 – $1,086
23	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$1,086	$1,086	$1,086 – $1,086
24	Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges	$1,308	$1,308	$1,308 – $1,308

Last updated: Mar 31, 2026

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