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
CT Abd & Pelvis WO Contrast
Sioux Center, IA
See all hospitals reporting CPT 74176 →Price type
Sioux Center Health’s median price of $551 is 5% above the median hospital's median price ($524), higher than 51% 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: 4 payers, 16 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 | Medica com fee schedule · outpatient | $95.04 | $95.04 | $95.04 – $95.04 |
| 2 | Medica ind fee schedule · outpatient | $95.04 | $95.04 | $95.04 – $95.04 |
| 3 | Wellmark hmo fee schedule · both | $157.20 | $157.20 | $157.20 – $157.20 |
| 4 | UnitedHealthcare com fee schedule · both | $161.12 | $161.12 | $161.12 – $161.12 |
| 5 | Medica com fee schedule · both | $175.96 | $175.96 | $175.96 – $175.96 |
| 6 | Medica ind fee schedule · both | $175.96 | $175.96 | $175.96 – $175.96 |
| 7 | Wellmark ppo fee schedule · both | $185.00 | $185.00 | $185.00 – $185.00 |
| 8 | Healthpartners com fee schedule · both | $186.17 | $186.17 | $186.17 – $186.17 |
| 9 | Wellmark hmo case rate · outpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 10 | Wellmark ppo case rate · outpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 11 | Medica ind percent of total billed charges · inpatientfrom % of charges | $997.10 | $997.10 | $997.10 – $997.10 |
| 12 | Medica com percent of total billed charges · inpatientfrom % of charges | $1,184 | $1,184 | $1,184 – $1,184 |
| 13 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $1,309 | $1,309 | $1,309 – $1,309 |
| 14 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $1,309 | $1,309 | $1,309 – $1,309 |
| 15 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $1,411 | $1,411 | $1,411 – $1,411 |
| 16 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $1,411 | $1,411 | $1,411 – $1,411 |
Last updated: Apr 1, 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.