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
Lititz, PA
See all hospitals reporting CPT 74175 →Price type
UPMC Lititz’s median price of $929 is 81% above the median hospital's median price ($514), higher than 67% of the 2,564 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: 7 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 | $169 | $169 | — | — | — | $169 – $169 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Cigna medicare facility · fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 5 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 6 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 7 | Highmark medicaid facility · fee schedule · outpatient | $452 | $452 | $74 | 16% | — | $378 – $526 |
| 8 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 9 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $505 | $505 | — | — | — | $505 – $505 |
| 10 | Highmark commercial facility · fee schedule · outpatient | $538 | $538 | — | — | — | $538 – $538 |
| 11 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $888 | $888 | — | — | — | $888 – $888 |
| 12 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $933 | $933 | — | — | — | $933 – $933 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $958 | $958 | — | — | — | $958 – $958 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 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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