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CT abdomen and pelvis without contrast
CPT 74176 · negotiated-rate distribution across hospitals in ID
Hospitals
1
Min
$835.8
Median
$835.8
Max
$835.8
Range multiplier
1.0×
By payer (9 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 1 | 2 | $592.15 | $630.68 | $669.2 | 1.1× |
| Aetna | 1 | 1 | $845.75 | $845.75 | $845.75 | 1.0× |
| dmba | 1 | 1 | $865.65 | $865.65 | $865.65 | 1.0× |
| first choice | 1 | 1 | $855.7 | $855.7 | $855.7 | 1.0× |
| mountain health co-op | 1 | 1 | $796 | $796 | $796 | 1.0× |
| Multiplan | 1 | 1 | $746.25 | $746.25 | $746.25 | 1.0× |
| three rivers | 1 | 1 | $895.5 | $895.5 | $895.5 | 1.0× |
| acpn | 1 | 1 | $845.75 | $845.75 | $845.75 | 1.0× |
| UnitedHealthcare | 1 | 1 | $825.85 | $825.85 | $825.85 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MOUNTAIN VIEW HOSPITAL | IDAHO FALLS | ID | 9 | $995 | $696.5 | $592.15 | $835.8 | $895.5 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.