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
Jasper, IN
See all hospitals reporting CPT 74176 →Price type
Little Company of Mary Hospital of Indiana Inc’s median price of $171 is 67% below the median hospital's median price ($524), higher than 4% 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, 21 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 | Anthem managed medicaid facility · fee schedule · outpatient | $89.84 | $89.84 | $89.84 – $89.84 |
| 2 | Anthem managed medicaid professional · fee schedule · both | $89.84 | $102.73 | $64.25 – $154.09 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $123.01 | $123.01 | $76.33 – $169.69 |
| 4 | Anthem medicare advantage professional · fee schedule · both | $123.01 | $123.01 | $76.33 – $169.69 |
| 5 | Caresource medicare advantage professional · fee schedule · both | $123.01 | $123.01 | $76.33 – $169.69 |
| 6 | Humana medicare advantage professional · fee schedule · both | $123.01 | $123.01 | $76.33 – $169.69 |
| 7 | Tricare government professional · fee schedule · both | $123.01 | $123.01 | $76.33 – $169.69 |
| 8 | UnitedHealthcare commercial professional · fee schedule · both | $136.99 | $136.99 | $85.19 – $188.79 |
| 9 | Caresource commercial professional · fee schedule · both | $153.76 | $153.76 | $95.41 – $212.11 |
| 10 | Ambetter commercial professional · fee schedule · both | $159.92 | $159.92 | $99.23 – $220.60 |
| 11 | Anthem hmo/ppo/traditional facility · fee schedule · outpatient | $163.99 | $163.99 | $163.99 – $163.99 |
| 12 | Tricare government facility · case rate · outpatient | $215.24 | $215.24 | $215.24 – $215.24 |
| 13 | Aetna medicare advantage facility · case rate · outpatient | $253.22 | $253.22 | $253.22 – $253.22 |
| 14 | Anthem medicare advantage facility · case rate · outpatient | $253.22 | $253.22 | $253.22 – $253.22 |
| 15 | Caresource medicare advantage facility · case rate · outpatient | $253.22 | $253.22 | $253.22 – $253.22 |
| 16 | Humana medicare advantage facility · case rate · outpatient | $253.22 | $253.22 | $253.22 – $253.22 |
| 17 | Aetna commercial professional · fee schedule · both | $281.66 | $281.66 | $173.33 – $389.98 |
| 18 | Cigna commercial professional · fee schedule · both | $281.66 | $281.66 | $173.33 – $389.98 |
| 19 | Anthem hmo/ppo/traditional professional · fee schedule · both | $315.16 | $315.16 | $147.30 – $483.02 |
| 20 | Caresource commercial facility · case rate · outpatient | $316.53 | $316.53 | $316.53 – $316.53 |
| 21 | Ambetter commercial facility · case rate · outpatient | $329.19 | $329.19 | $329.19 – $329.19 |
Last updated: Feb 13, 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.