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
Sparta, WI
See all hospitals reporting CPT 74176 →Price type
Mayo Clinic Health System’s median price of $2.8k is 439% 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: 16 payers, 43 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 | Tricare swwi tricare [689] professional · fee schedule · outpatient | $96.80 | $115.63 | $76.64 – $173.44 |
| 4 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $98.44 | $116.90 | $76.91 – $175.35 |
| 5 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $98.44 | $116.90 | $76.91 – $175.35 |
| 6 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $101.39 | $120.41 | $79.22 – $180.61 |
| 7 | Blue Cross Blue Shield anthem medicare advantage plan hmo [1236] professional · fee schedule · outpatient | $103.36 | $122.75 | $80.76 – $184.12 |
| 8 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $108.88 | $126.35 | $80.64 – $189.53 |
| 9 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan msho [257] professional · fee schedule · outpatient | $111.00 | $128.80 | $82.20 – $193.21 |
| 10 | Medica swwi medica dual solution msho [1006] professional · fee schedule · outpatient | $111.00 | $128.80 | $82.20 – $193.21 |
| 11 | Optum united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $111.00 | $128.80 | $82.20 – $193.21 |
| 12 | UnitedHealthcare united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $111.00 | $128.80 | $82.20 – $193.21 |
| 13 | UnitedHealthcare united healthcare medicare advantage plan complete [1401] professional · fee schedule · outpatient | $114.17 | $132.48 | $84.55 – $198.73 |
| 14 | Ucare swwi ucare essentia care medicare advantage plan [774] professional · fee schedule · outpatient | $113.21 | $134.44 | $88.45 – $201.65 |
| 15 | Blue Cross Blue Shield swwi anthem hmo and pos [59] professional · fee schedule · outpatient | $1,110 | $1,324 | $929.66 – $2,148 |
| 16 | Medica swwi medica engage ifb [1299] professional · percent of total billed charges · outpatientfrom % of charges | $1,934 | $1,724 | $651.30 – $2,586 |
| 17 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $2,143 | $1,909 | $721.44 – $2,864 |
| 18 | UnitedHealthcare swwi uhc [243] professional · fee schedule · outpatient | $1,870 | $2,080 | $921.84 – $3,660 |
| 19 | Anthem swwi anthem ppo [19] professional · fee schedule · outpatient | $1,885 | $2,100 | $931.86 – $3,700 |
| 20 | Blue Cross Blue Shield swwi anthem ppo [19] professional · fee schedule · outpatient | $1,885 | $2,100 | $931.86 – $3,700 |
| 21 | Medica swwi medica non mayo employee group [761] professional · percent of total billed charges · outpatientfrom % of charges | $2,381 | $2,122 | $801.60 – $3,182 |
| 22 | Blue Cross Blue Shield & swwi blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $2,530 | $2,254 | $851.70 – $3,381 |
| 23 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $2,530 | $2,254 | $851.70 – $3,381 |
| 24 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $2,619 | $2,334 | $881.76 – $3,501 |
| 25 | Blue Cross Blue Shield swwi bcbs [647] professional · percent of total billed charges · outpatientfrom % of charges | $2,678 | $2,387 | $901.80 – $3,580 |
Last updated: Aug 14, 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.