CT scan of abdomen and pelvis without contrast at MVHS, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT Abd/Pevis W/O Contrast

Utica, NY

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Pricing by billing methodology

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How this price compares nationally

MVHS, Inc.’s median price of $208 is 60% below the median hospital's median price ($524), higher than 7% of the 2,634 hospitals reporting CPT 74176. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74176 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 13 payers, 33 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	Excellus excellus bcbs medicaid fee schedule · outpatient	$69.38	$69.38	$69.38 – $69.38
2	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$69.38	$69.38	$69.38 – $69.38
3	Molina misc medicaid mco fee schedule · outpatient	$69.38	$69.38	$69.38 – $69.38
4	UnitedHealthcare uhc essential plan fee schedule · outpatient	$69.38	$69.38	$69.38 – $69.38
5	UnitedHealthcare uhc medicaid fee schedule · outpatient	$69.38	$69.38	$69.38 – $69.38
6	WellCare hb mvhs wellcare medicaid fee schedule · outpatient	$69.38	$69.38	$69.38 – $69.38
7	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$208.02	$208.02	$208.02 – $208.02
8	Excellus excellus bcbs medicare advantage other · outpatient	$208.49	$208.49	$119.14 – $297.84
9	Humana humana medicare advantage other · outpatient	$208.49	$208.49	$119.14 – $297.84
10	UnitedHealthcare uhc medicare advantage other · outpatient	$210.58	$210.58	$120.33 – $300.82
11	Aetna aetna medicare advantage other · outpatient	$212.66	$212.66	$121.52 – $303.80
12	WellCare wellcare medicare advantage other · outpatient	$214.75	$214.75	$122.71 – $306.78
13	UnitedHealthcare uhc empire plan fee schedule · outpatient	$250.80	$250.80	$250.80 – $250.80
14	Humana humana military other · outpatient	$271.74	$271.74	$271.74 – $271.74
15	Tricare humana military other · outpatient	$271.74	$271.74	$271.74 – $271.74
16	Medicare medicare other · outpatient	$297.84	$297.84	$297.84 – $297.84
17	Optum vaccn optum other · outpatient	$297.84	$297.84	$297.84 – $297.84
18	Cigna mvp and cigna commercial other · outpatient	$855.73	$855.73	$855.73 – $855.73
19	Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges	$1,498	$1,498	$1,498 – $1,498
20	UnitedHealthcare uhc commercial case rate · both	$1,595	$1,595	$1,595 – $1,595
21	UnitedHealthcare uhc commercial case rate · outpatient	$1,595	$1,595	$1,595 – $1,595
22	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$2,267	$2,267	$2,267 – $2,267
23	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$3,378	$3,378	$3,378 – $3,378
24	Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges	$3,599	$3,599	$3,599 – $3,599
25	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges	$3,578	$3,671	$3,574 – $3,860

Page 1 of 2 · 33 rates

Last updated: Aug 7, 2026

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