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
Burlington, VT
See all hospitals reporting CPT 74176 →Price type
University of Vermont Medical Center Inc’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.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 managed medicaid/essential plans professional · fee schedule · both | $88.81 | $88.81 | $54.55 – $123.07 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $113.90 | $113.90 | $62.60 – $165.20 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $116.15 | $119.98 | $66.75 – $180.89 |
| 4 | Humana tricare professional · fee schedule · both | $122.30 | $122.30 | $66.18 – $178.41 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $129.07 | $129.07 | $78.14 – $180.00 |
| 6 | Excellus medicare advantage professional · fee schedule · both | $129.71 | $129.71 | $78.53 – $180.89 |
| 7 | Humana tricare facility · fee schedule · outpatient | $241.72 | $241.72 | $241.72 – $241.72 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $263.11 | $263.11 | $263.11 – $263.11 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $263.11 | $263.11 | $263.11 – $263.11 |
| 10 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $255.83 | $264.34 | $146.45 – $399.25 |
| 11 | Excellus commercial professional · fee schedule · both | $369.56 | $369.56 | $226.43 – $512.68 |
| 12 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $468.95 | $468.95 | $282.58 – $655.32 |
| 13 | Bcbs Vt indemnity professional · fee schedule · both | $576.01 | $576.01 | $347.27 – $804.74 |
| 14 | Bcbs Vt the vermont health plan/vermont health partnership professional · fee schedule · both | $576.01 | $576.01 | $347.27 – $804.74 |
| 15 | Cigna commercial professional · fee schedule · both | $576.01 | $576.01 | $347.27 – $804.74 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $612.73 | $612.73 | $369.41 – $856.04 |
| 17 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,354 | $1,354 | $1,354 – $1,354 |
| 18 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $2,321 | $2,321 | $2,321 – $2,321 |
| 19 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2,902 | $2,902 | $2,902 – $2,902 |
| 20 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $3,611 | $3,611 | $3,611 – $3,611 |
| 21 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $3,772 | $3,772 | $3,772 – $3,772 |
| 22 | Cigna commercial facility · fee schedule · outpatient | $3,923 | $3,923 | $3,923 – $3,923 |
| 23 | Bcbs Vt indemnity facility · fee schedule · outpatient | $4,517 | $4,517 | $4,517 – $4,517 |
| 24 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $4,757 | $4,757 | $4,757 – $4,757 |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $4,761 | $4,761 | $4,761 – $4,761 |
Last updated: Oct 12, 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.