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
Lebanon, NH
See all hospitals reporting CPT 74176 →Price type
Mary Hitchcock Memorial Hospital’s median price of $308 is 41% below the median hospital's median price ($524), higher than 29% 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, 101 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 anthem - medicare advantage - dhp professional · fee schedule · outpatient | $89.39 | $89.39 | $79.68 – $99.09 |
| 2 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $89.39 | $89.39 | $79.68 – $99.09 |
| 3 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $89.39 | $89.39 | $79.68 – $99.09 |
| 4 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $89.39 | $89.39 | $79.68 – $99.09 |
| 5 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $92.07 | $92.07 | $82.07 – $102.06 |
| 6 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $92.07 | $92.07 | $82.07 – $102.06 |
| 7 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $92.96 | $92.96 | $82.86 – $103.05 |
| 8 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $93.85 | $93.85 | $83.66 – $104.04 |
| 9 | Aetna aetna - hmo/pos/ppo professional · fee schedule · outpatient | $101.11 | $101.11 | $76.85 – $125.36 |
| 10 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $101.11 | $101.11 | $76.85 – $125.36 |
| 11 | Aetna aetna hmo/pos/ppo - arnb professional · fee schedule · outpatient | $101.11 | $101.11 | $76.85 – $125.36 |
| 12 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $106.43 | $106.43 | $106.43 – $106.43 |
| 13 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $112.66 | $112.66 | $99.41 – $125.91 |
| 14 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $112.79 | $112.79 | $97.27 – $128.31 |
| 15 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $125.32 | $125.32 | $108.07 – $142.57 |
| 16 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $180.52 | $180.52 | $99.09 – $261.94 |
| 17 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $184.61 | $184.61 | $184.61 – $184.61 |
| 18 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $196.69 | $196.69 | $196.69 – $196.69 |
| 19 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $218.95 | $218.95 | $189.00 – $248.89 |
| 20 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $239.79 | $239.79 | $206.78 – $272.79 |
| 21 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $266.61 | $266.61 | $195.66 – $337.56 |
| 22 | Bcbs Vt bcbs of vermont - vermont health partnership professional · fee schedule · outpatient | $266.61 | $266.61 | $195.66 – $337.56 |
| 23 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $267.61 | $267.61 | $227.69 – $307.53 |
| 24 | Anthem anthem - medicare advantage facility · case rate · outpatient | $270.50 | $270.50 | $270.50 – $270.50 |
| 25 | Bcbs Vt bcbs of vermont - medicare advantage facility · case rate · outpatient | $270.50 | $270.50 | $270.50 – $270.50 |
Last updated: Jan 1, 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.