CT scan of abdomen and pelvis without contrast at Thomas Jefferson University Hospital, Inc.

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 w-o contrast

Philadelphia, PA

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How this price compares nationally

Thomas Jefferson University Hospital, Inc.’s median price of $232 is 56% below the median hospital's median price ($524), higher than 11% 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 Thomas Jefferson University Hospital, Inc.

Negotiated rates from the hospital’s own file: 12 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	Optum jcc001_jcc002 va ccn facility · fee schedule · outpatient	$220.61	$220.61	$220.61 – $220.61
2	Tricare jcc001_jcc002 military facility · fee schedule · outpatient	$220.61	$220.61	$220.61 – $220.61
3	Humana jcc001_jcc002 medicare facility · fee schedule · outpatient	$225.02	$225.02	$225.02 – $225.02
4	UnitedHealthcare medicare aarp facility · fee schedule · outpatient	$225.02	$225.02	$225.02 – $225.02
5	UnitedHealthcare medicare isnp facility · fee schedule · outpatient	$225.02	$225.02	$225.02 – $225.02
6	Cigna Healthspring jcc001_jcc002 medicare facility · fee schedule · outpatient	$229.44	$229.44	$229.44 – $229.44
7	Devoted jcc001_jcc002 medicare facility · fee schedule · outpatient	$231.64	$231.64	$231.64 – $231.64
8	Aetna jcc001_jcc002 medicare facility · fee schedule · outpatient	$233.85	$233.85	$233.85 – $233.85
9	Aetna Better Health jcc001_jcc002 chip facility · fee schedule · outpatient	$191.56	$234.03	$191.56 – $318.96
10	UnitedHealthcare medicare group retiree facility · fee schedule · outpatient	$238.26	$238.26	$238.26 – $238.26
11	Highmark jcc001_jcc002 medicare facility · fee schedule · outpatient	$258.11	$258.11	$258.11 – $258.11
12	Cigna jcc001_jcc002 commercial facility · fee schedule · outpatient	$316.68	$316.68	$316.68 – $316.68
13	Ambetter jcc001_jcc002 comm exch facility · fee schedule · outpatient	$319.89	$319.89	$319.89 – $319.89
14	Cigna jcc001_jcc002 ppo facility · fee schedule · outpatient	$380.46	$380.46	$380.46 – $380.46
15	Aetna commercial pebtf facility · fee schedule · outpatient	$823.91	$823.91	$823.91 – $823.91
16	Aetna commercial facility · fee schedule · outpatient	$970.19	$970.19	$970.19 – $970.19
17	Blue Cross Blue Shield commercial hmo facility · fee schedule · outpatient	$1,543	$1,543	$1,543 – $1,543
18	Blue Cross Blue Shield jcc001_ jcc002 indemnity facility · fee schedule · outpatient	$1,543	$1,543	$1,543 – $1,543
19	Blue Cross Blue Shield jcc001_jcc002 ppo facility · fee schedule · outpatient	$1,543	$1,543	$1,543 – $1,543

Last updated: Mar 18, 2026

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