CT scan of abdomen and pelvis without contrast at Spencer Municipal 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

CT Abd & Pelvis WO Contrast

Spencer, IA

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How this price compares nationally

Spencer Municipal Hospital’s median price of $565 is 8% above the median hospital's median price ($524), higher than 52% 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 Spencer Municipal Hospital

Negotiated rates from the hospital’s own file: 5 payers, 22 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 medicare advantage case rate · inpatient	$204.70	$204.70	$204.70 – $204.70
2	Aetna medicare advantage (hmo & ppo) case rate · inpatient	$227.45	$227.45	$227.45 – $227.45
3	Aetna medicare advantage (hmo & ppo) case rate · outpatient	$227.45	$227.45	$227.45 – $227.45
4	Humana medicare advantage (all) case rate · inpatient	$229.72	$229.72	$229.72 – $229.72
5	Humana medicare advantage (all) case rate · outpatient	$229.72	$229.72	$229.72 – $229.72
6	Wellmark medicare advantage case rate · inpatient	$229.72	$229.72	$229.72 – $229.72
7	Wellmark medicare advantage case rate · outpatient	$229.72	$229.72	$229.72 – $229.72
8	Molina medicaid case rate · inpatient	$231.26	$231.26	$231.26 – $231.26
9	Molina medicaid case rate · outpatient	$231.26	$231.26	$231.26 – $231.26
10	UnitedHealthcare medicare advantage case rate · outpatient	$295.68	$295.68	$295.68 – $295.68
11	Wellmark hmo fee schedule · inpatient	$833.65	$833.65	$833.65 – $833.65
12	Wellmark hmo fee schedule · outpatient	$833.65	$833.65	$833.65 – $833.65
13	Wellmark ppo fee schedule · inpatient	$916.24	$916.24	$916.24 – $916.24
14	Wellmark ppo fee schedule · outpatient	$916.24	$916.24	$916.24 – $916.24
15	Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges	$1,962	$1,962	$1,962 – $1,962
16	Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges	$1,962	$1,962	$1,962 – $1,962
17	UnitedHealthcare all percent of total billed charges · inpatientfrom % of charges	$1,962	$1,962	$1,962 – $1,962
18	UnitedHealthcare all percent of total billed charges · outpatientfrom % of charges	$1,962	$1,962	$1,962 – $1,962
19	Aetna commercial ppo percent of total billed charges · inpatientfrom % of charges	$2,071	$2,071	$2,071 – $2,071
20	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$2,071	$2,071	$2,071 – $2,071
21	Humana commercial percent of total billed charges · inpatientfrom % of charges	$2,071	$2,071	$2,071 – $2,071
22	Humana commercial percent of total billed charges · outpatientfrom % of charges	$2,071	$2,071	$2,071 – $2,071

Last updated: Jan 1, 2026

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