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
CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL
Saratoga Springs, NY
See all hospitals reporting CPT 74176 →Price type
Saratoga Hospital’s median price of $89 is 83% below the median hospital's median price ($524), higher than 1% 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: 7 payers, 59 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 | Blue Cross Blue Shield essentialnonaliessa_csw_fac professional · fee schedule · outpatient | $58.14 | $58.14 | $58.14 – $58.14 |
| 2 | Blue Cross Blue Shield essentialnonaliessa_csw_nonfac professional · fee schedule · outpatient | $58.14 | $58.14 | $58.14 – $58.14 |
| 3 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $65.89 | $65.89 | $65.89 – $65.89 |
| 4 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient | $65.89 | $65.89 | $65.89 – $65.89 |
| 5 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $65.89 | $65.89 | $65.89 – $65.89 |
| 6 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient | $65.89 | $65.89 | $65.89 – $65.89 |
| 7 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $65.89 | $65.89 | $65.89 – $65.89 |
| 8 | Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient | $65.89 | $65.89 | $65.89 – $65.89 |
| 9 | Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient | $74.22 | $74.22 | $74.22 – $74.22 |
| 10 | Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient | $74.22 | $74.22 | $74.22 – $74.22 |
| 11 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 12 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 13 | Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 14 | Blue Cross Blue Shield essentialnonaliessa_md_nonfac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 15 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 16 | Blue Cross Blue Shield medicare_nonfac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 17 | Tricare all products_physician_fac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 18 | Tricare all products_physician_nonfac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 19 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 20 | UnitedHealthcare medicare_nonfac professional · fee schedule · outpatient | $77.52 | $77.52 | $77.52 – $77.52 |
| 21 | Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient | $78.58 | $78.58 | $78.58 – $78.58 |
| 22 | Blue Cross Blue Shield hmo_nonfac professional · fee schedule · outpatient | $78.58 | $78.58 | $78.58 – $78.58 |
| 23 | Aetna medicare_fac professional · fee schedule · outpatient | $79.07 | $79.07 | $79.07 – $79.07 |
| 24 | Aetna medicare_nonfac professional · fee schedule · outpatient | $79.07 | $79.07 | $79.07 – $79.07 |
| 25 | UnitedHealthcare all products_nonmd_fac professional · fee schedule · outpatient | $81.69 | $81.69 | $81.69 – $81.69 |
Last updated: Dec 31, 2025
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.