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
HC CTA ABDOMEN/PELVIS RENAL DONOR
Hanover, PA
See all hospitals reporting CPT 74175 →Price type
UPMC Hanover’s median price of $590 is 14% above the median hospital's median price ($516), higher than 53% of the 2,617 hospitals reporting CPT 74175. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Highmark medicare facility · fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 2 | Humana medicare facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 4 | Cigna medicare facility · fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 6 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 7 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 8 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $451 | $451 | — | — | — | $451 – $451 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $471 | $471 | $93 | 20% | — | $378 – $564 |
| 10 | Highmark commercial facility · fee schedule · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $958 | $958 | — | — | — | $958 – $958 |
| 12 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Mar 6, 2026
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