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
HC CT Abdomen & Pelvis W/O Contrast
Plymouth, IN
See all hospitals reporting CPT 74176 →Price type
Plymouth Medical Center’s median price of $891 is 70% above the median hospital's median price ($524), higher than 64% 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, 29 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 | Aetna medicaid facility · other · both | $130.66 | $130.66 | $130.66 – $130.66 |
| 2 | Blue Cross Blue Shield medicaid facility · other · both | $130.66 | $130.66 | $130.66 – $130.66 |
| 3 | Molina medicaid facility · other · both | $130.66 | $130.66 | $130.66 – $130.66 |
| 4 | UnitedHealthcare medicaid facility · other · both | $130.66 | $130.66 | $130.66 – $130.66 |
| 5 | Aetna aetna medicare advantage facility · other · both | $247.39 | $247.39 | $247.39 – $247.39 |
| 6 | Anthem anthem bcbs medicare advantage facility · other · both | $247.39 | $247.39 | $247.39 – $247.39 |
| 7 | Blue Cross Blue Shield anthem bcbs healthy medicare advantage facility · other · both | $247.39 | $247.39 | $247.39 – $247.39 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $252.34 | $252.34 | $252.34 – $252.34 |
| 9 | Anthem anthem bcbs medicaid hhw hcc facility · fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 10 | Anthem anthem bcbs medicaid hip facility · fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 11 | Caresource caresource medicaid facility · fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 12 | UnitedHealthcare united healthcare medicaid facility · fee schedule · both | $350.38 | $350.38 | $350.38 – $350.38 |
| 13 | Aetna aetna marketplace facility · other · both | $391.29 | $391.29 | $391.29 – $391.29 |
| 14 | Caresource caresource hmo marketplace facility · other · both | $391.29 | $391.29 | $391.29 – $391.29 |
| 15 | UnitedHealthcare united healthcare charter facility · case rate · both | $399.00 | $399.00 | $399.00 – $399.00 |
| 16 | UnitedHealthcare united healthcare facility · case rate · both | $878.00 | $878.00 | $878.00 – $878.00 |
| 17 | Anthem anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 18 | Blue Cross Blue Shield anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 19 | Carefirst anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 20 | Excellus anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 21 | Highmark anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 22 | Premera anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 23 | Regence anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 24 | Wellmark anthem bcbs facility · other · both | $891.26 | $891.26 | $891.26 – $891.26 |
| 25 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $2,712 | $2,712 | $2,712 – $2,712 |
Last updated: Mar 31, 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.