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
PR CT ABD&PELVIS WO CNTRST
Osseo, WI
See all hospitals reporting CPT 74176 →Price type
Mayo Clinic Health System’s median price of $2.8k is 432% above the median hospital's median price ($524), higher than 89% 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: 12 payers, 31 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 | Ucare ucare msho medicare advantage plan [1106] professional · fee schedule · outpatient | $80.33 | $95.39 | $62.76 – $143.09 |
| 2 | Ucare ucare connect medicare advantage plan [1107] professional · fee schedule · outpatient | $86.63 | $102.87 | $67.68 – $154.31 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $98.44 | $116.90 | $76.91 – $175.35 |
| 4 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $98.44 | $116.90 | $76.91 – $175.35 |
| 5 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $101.39 | $120.41 | $79.22 – $180.61 |
| 6 | Blue Cross Blue Shield anthem medicare advantage plan hmo [1236] professional · fee schedule · outpatient | $103.36 | $122.75 | $80.76 – $184.12 |
| 7 | Optum united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $111.00 | $128.80 | $82.20 – $193.21 |
| 8 | UnitedHealthcare united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $111.00 | $128.80 | $82.20 – $193.21 |
| 9 | UnitedHealthcare united healthcare medicare advantage plan complete [1401] professional · fee schedule · outpatient | $114.17 | $132.48 | $84.55 – $198.73 |
| 10 | Medica medica part b medicare advantage plan [495] professional · fee schedule · outpatient | $121.57 | $141.07 | $90.03 – $211.61 |
| 11 | Blue Cross Blue Shield nwwi anthem hmo and pos [54] professional · fee schedule · outpatient | $1,218 | $1,432 | $929.66 – $2,148 |
| 12 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $2,103 | $1,874 | $708.48 – $2,812 |
| 13 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $2,483 | $2,213 | $836.40 – $3,319 |
| 14 | Medica nwwi medica engage ifb [1300] professional · percent of total billed charges · outpatientfrom % of charges | $2,483 | $2,213 | $836.40 – $3,319 |
| 15 | Medica nwwi medica non mayo employee group [762] professional · percent of total billed charges · outpatientfrom % of charges | $2,483 | $2,213 | $836.40 – $3,319 |
| 16 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $2,629 | $2,343 | $885.60 – $3,515 |
| 17 | UnitedHealthcare multi uhc [266] professional · fee schedule · outpatient | $2,687 | $2,395 | $905.28 – $3,593 |
| 18 | Optum medica medicare advantage plan behavioral health [1356] professional · percent of total billed charges · outpatientfrom % of charges | $2,717 | $2,421 | $915.12 – $3,632 |
| 19 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $2,746 | $2,447 | $924.96 – $3,671 |
| 20 | Medica nwwi medica ifb [1077] professional · percent of total billed charges · outpatientfrom % of charges | $2,759 | $2,459 | $929.39 – $3,688 |
| 21 | Medica rcmc medica choice [204] professional · percent of total billed charges · outpatientfrom % of charges | $2,759 | $2,459 | $929.39 – $3,688 |
| 22 | Anthem multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $2,775 | $2,473 | $934.80 – $3,710 |
| 23 | Blue Cross Blue Shield multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $2,775 | $2,473 | $934.80 – $3,710 |
| 24 | Aetna multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $2,790 | $2,486 | $939.72 – $3,729 |
| 25 | First Health multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $2,790 | $2,486 | $939.72 – $3,729 |
Last updated: Aug 14, 2026
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