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 ABDOMEN & PELVIS W/O CONTRAST MATERIAL
Lodi, OH
See all hospitals reporting CPT 74176 →Price type
Lodi Community Hospital’s median price of $901 is 72% above the median hospital's median price ($524), higher than 65% 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, 28 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 | Optum all products va facility · fee schedule · outpatient | $241.72 | $241.72 | $241.72 – $241.72 |
| 2 | Optum medicare advantage transplant facility · fee schedule · outpatient | $241.72 | $241.72 | $241.72 – $241.72 |
| 3 | Anthem medicare advantage facility · fee schedule · outpatient | $243.77 | $243.77 | $243.77 – $243.77 |
| 4 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $471.71 | $471.71 | $471.71 – $471.71 |
| 5 | Humana medicare advantage hmo facility · percent of total billed charges · outpatientfrom % of charges | $500.40 | $500.40 | $500.40 – $500.40 |
| 6 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $500.40 | $500.40 | $500.40 – $500.40 |
| 7 | Optum managed medicaid transplant facility · case rate · outpatient | $524.38 | $524.38 | $524.38 – $524.38 |
| 8 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $533.76 | $533.76 | $533.76 – $533.76 |
| 9 | Caresource managed medicaid facility · case rate · outpatient | $551.98 | $551.98 | $551.98 – $551.98 |
| 10 | Anthem managed medicaid facility · case rate · outpatient | $579.58 | $579.58 | $579.58 – $579.58 |
| 11 | Molina managed medicaid facility · case rate · outpatient | $579.58 | $579.58 | $579.58 – $579.58 |
| 12 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $579.58 | $579.58 | $579.58 – $579.58 |
| 13 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $601.98 | $601.98 | $601.98 – $601.98 |
| 14 | Anthem hpn facility · percent of total billed charges · inpatientfrom % of charges | $910.73 | $910.73 | $910.73 – $910.73 |
| 15 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $944.09 | $944.09 | $944.09 – $944.09 |
| 16 | Aetna acop facility · percent of total billed charges · outpatientfrom % of charges | $947.42 | $947.42 | $947.42 – $947.42 |
| 17 | Anthem hpn facility · percent of total billed charges · outpatientfrom % of charges | $1,010 | $1,010 | $1,010 – $1,010 |
| 18 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,059 | $1,059 | $1,059 – $1,059 |
| 19 | Anthem ppo/hmo facility · percent of total billed charges · inpatientfrom % of charges | $1,072 | $1,072 | $1,072 – $1,072 |
| 20 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1,105 | $1,105 | $1,105 – $1,105 |
| 21 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $1,127 | $1,127 | $1,127 – $1,127 |
| 22 | Aetna asa_whirlpool_peia facility · percent of total billed charges · outpatientfrom % of charges | $1,146 | $1,146 | $1,146 – $1,146 |
| 23 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $1,154 | $1,154 | $1,154 – $1,154 |
| 24 | Aetna international facility · percent of total billed charges · outpatientfrom % of charges | $1,158 | $1,158 | $1,158 – $1,158 |
| 25 | Anthem ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,188 | $1,188 | $1,188 – $1,188 |
Last updated: Jun 15, 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.