CT scan of abdomen and pelvis without contrast at Samuel Mahelona Memorial 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

74176 CT ABD & PELVIS W/O CONTRAST ProFee

Kapaa, HI

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Pricing by billing methodology

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How this price compares nationally

Samuel Mahelona Memorial Hospital’s median price of $263 is 50% below the median hospital's median price ($524), higher than 20% 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 Samuel Mahelona Memorial Hospital

Negotiated rates from the hospital’s own file: 4 payers, 19 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	UnitedHealthcare medicaid facility · fee schedule · outpatient	$94.66	$94.66	$94.66 – $94.66
2	UnitedHealthcare medicaid professional · fee schedule · both	$122.73	$122.73	$122.73 – $122.73
3	Devoted medicare professional · fee schedule · both	$89.44	$132.33	$89.44 – $218.11
4	UnitedHealthcare medicare professional · fee schedule · both	$139.80	$139.80	$81.31 – $198.28
5	Kaiser commercial professional · fee schedule · both	$97.57	$144.36	$97.57 – $237.94
6	Kaiser medicaid professional · fee schedule · both	$167.76	$167.76	$97.57 – $237.94
7	Kaiser medicare professional · fee schedule · both	$167.76	$167.76	$97.57 – $237.94
8	Kaiser commercial professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
9	Kaiser medicare professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
10	UnitedHealthcare medicare professional · per diem · both	$246.64	$254.90	$181.39 – $339.46
11	Kaiser medicaid professional · per diem · both	$434.26	$434.26	$434.26 – $434.26
12	UnitedHealthcare medicaid professional · per diem · both	$434.26	$434.26	$434.26 – $434.26
13	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,892	$2,892	$1,365 – $4,418
14	Kaiser medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,892	$2,892	$1,365 – $4,418
15	UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges	$2,892	$2,892	$1,365 – $4,418
16	Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges	$2,949	$2,949	$1,392 – $4,506
17	Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges	$3,181	$3,181	$1,502 – $4,860
18	Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges	$5,205	$5,205	$2,457 – $7,952
19	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$5,205	$5,205	$2,457 – $7,952

Last updated: Jun 15, 2026

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