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 W/PELVIS KIDNEY STONES
Iron Mountain, MI
See all hospitals reporting CPT 74176 →Price type
Marshfield Medical Center - Dickinson’s median price of $2.3k is 333% above the median hospital's median price ($524), higher than 85% 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: 7 payers, 15 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 hmo/pos/ppo/traditional facility · per diem · outpatient | $1,561 | $1,561 | $1,561 – $1,561 |
| 2 | Aetna funding advantage facility · percent of total billed charges · inpatientfrom % of charges | $1,862 | $1,862 | $1,269 – $2,455 |
| 3 | Aetna funding advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,862 | $1,862 | $1,269 – $2,455 |
| 4 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,970 | $1,970 | $1,342 – $2,597 |
| 5 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,970 | $1,970 | $1,342 – $2,597 |
| 6 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,435 | $2,435 | $1,660 – $3,211 |
| 7 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,435 | $2,435 | $1,660 – $3,211 |
| 8 | Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
| 10 | First Health ppo network facility · percent of total billed charges · inpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
| 11 | First Health ppo network facility · percent of total billed charges · outpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
| 12 | Humana epo/pos/ppo/preferred ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
| 13 | Humana epo/pos/ppo/preferred ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
| 14 | MultiPlan ppo network facility · percent of total billed charges · inpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
| 15 | MultiPlan ppo network facility · percent of total billed charges · outpatientfrom % of charges | $3,223 | $3,223 | $2,197 – $4,250 |
Last updated: Feb 19, 2026
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