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CT abdomen and pelvis without contrast

CPT 74176 · negotiated-rate distribution across hospitals in NH

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Hospitals
1
Min
$815.33
Median
$815.33
Max
$815.33
Range multiplier
1.0×

By payer (8 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS124$257.99$494.60$905.923.5×
harvard pilgrim15$1,112.98$1,454.74$2,303.292.1×
tufts health plan13$4,071.93$4,071.93$4,423.471.1×
maine community health13$2,499.93$2,499.93$4,239.011.7×
UnitedHealthcare12$3,111.71$3,798.03$4,484.341.4×
well sense health plan11$869.54$869.54$869.541.0×
Cigna11$1,040.00$1,040.00$1,040.001.0×
amerihealth caritas11$703.71$703.71$703.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Catholic Medical CenterManchesterNH8$6,211.00$6,211.00$257.99$815.33$4,484.34

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.