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
CT ABD & PLVS WO CONTRAST
Wellsboro, PA
See all hospitals reporting CPT 74176 →Price type
UPMC Wellsboro’s median price of $2.8k is 432% above the median hospital's median price ($524), higher than 89% 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: 6 payers, 21 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 pa medicaid facility · fee schedule · outpatient | $129.37 | $129.37 | $129.37 – $129.37 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $185.12 | $185.12 | $185.12 – $185.12 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $187.64 | $187.64 | $187.64 – $187.64 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $949.77 | $949.77 | $903.42 – $996.12 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,055 | $1,055 | $1,004 – $1,107 |
| 6 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,108 | $1,108 | $1,054 – $1,162 |
| 7 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,129 | $1,129 | $1,074 – $1,184 |
| 8 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2,266 | $2,266 | $2,155 – $2,376 |
| 9 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,668 | $2,668 | $2,538 – $2,799 |
| 10 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $3,871 | $3,871 | $3,682 – $4,060 |
| 11 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $3,871 | $3,871 | $3,682 – $4,060 |
| 12 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $4,116 | $4,116 | $3,915 – $4,317 |
| 13 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $4,116 | $4,116 | $3,915 – $4,317 |
| 14 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $4,116 | $4,116 | $3,915 – $4,317 |
| 15 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $4,116 | $4,116 | $3,915 – $4,317 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $4,485 | $4,485 | $4,266 – $4,704 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $4,485 | $4,485 | $4,266 – $4,704 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4,554 | $4,554 | $4,331 – $4,776 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4,554 | $4,554 | $4,331 – $4,776 |
| 20 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $5,013 | $5,013 | $4,768 – $5,257 |
| 21 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $5,013 | $5,013 | $4,768 – $5,257 |
Last updated: Mar 6, 2026
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