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 Abdomen & Pelvis W/O Contrast|PROFESSIONAL COMPONENT
Troy, NY
See all hospitals reporting CPT 74176 →Price type
Samaritan Hospital’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.
Negotiated rates from the hospital’s own file: 34 payers, 141 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $57.03 | $57.03 | $57.03 – $57.03 |
| 2 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $57.03 | $57.03 | $57.03 – $57.03 |
| 3 | Anthem empire medicaid facility · fee schedule · both | $73.54 | $73.54 | $73.54 – $73.54 |
| 4 | Anthem empire medicaid facility · fee schedule · outpatient | $73.54 | $73.54 | $73.54 – $73.54 |
| 5 | Excellus empire medicaid facility · fee schedule · both | $73.54 | $73.54 | $73.54 – $73.54 |
| 6 | Excellus empire medicaid facility · fee schedule · outpatient | $73.54 | $73.54 | $73.54 – $73.54 |
| 7 | Humana tricare professional · fee schedule · inpatient | $74.42 | $74.42 | $74.42 – $74.42 |
| 8 | Humana tricare professional · fee schedule · outpatient | $74.42 | $74.42 | $74.42 – $74.42 |
| 9 | Tricare tricare professional · fee schedule · inpatient | $74.42 | $74.42 | $74.42 – $74.42 |
| 10 | Tricare tricare professional · fee schedule · outpatient | $74.42 | $74.42 | $74.42 – $74.42 |
| 11 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $156.10 | $156.10 | $156.10 – $156.10 |
| 12 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $156.10 | $156.10 | $156.10 – $156.10 |
| 13 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $156.10 | $156.10 | $156.10 – $156.10 |
| 14 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $156.10 | $156.10 | $156.10 – $156.10 |
| 15 | Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 16 | Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 17 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 18 | Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 19 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 20 | Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 21 | Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 22 | Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 23 | Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 24 | Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
| 25 | Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $180.00 | $180.00 | $180.00 – $180.00 |
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.