CT angiography of abdomen and pelvis at Samaritan Hospital

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

PR CT Angiography Abdomen & Pelvis W/O & W/Contrast|PROFESSIONAL COMPONENT|MULTIPLE PROCEDURES

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $269 is 65% below the median hospital's median price ($776), higher than 3% of the 2,695 hospitals reporting CPT 74174. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74174 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 113 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	Humana tricare professional · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
2	Tricare tricare professional · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
3	Aetna aetna medicare advantage professional · fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
4	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$147	$147	—	—	—	$147 – $147
5	Aetna aetna professional · fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
6	Anthem empire medicaid facility · fee schedule · both	$190	$190	—	—	—	$190 – $190
7	Excellus empire medicaid facility · fee schedule · both	$190	$190	—	—	—	$190 – $190
8	Humana tricare professional · fee schedule · inpatient	$219	$219	$125	57%	1–10	$94 – $343
9	Tricare tricare professional · fee schedule · inpatient	$219	$219	$125	57%	—	$94 – $343
10	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
11	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
12	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
13	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	1–10	$225 – $225
14	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	1–10	$225 – $225
15	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
16	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
17	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
18	Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
19	Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
20	Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	1–10	$225 – $225
21	First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
22	Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	2–20	$225 – $225
23	Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
24	Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
25	Magellan pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225

Page 1 of 5 · 113 rates

Last updated: Mar 31, 2026

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