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CT abdomen and pelvis without contrast

CPT 74176 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$2,785.86
Median
$4,033.26
Max
$5,915.00
Range multiplier
2.1×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$235.00$1,535.14$2,867.0512.2×
UnitedHealthcare536$1,164.24$4,074.84$5,915.005.1×
Blue Cross Blue Shield527$966.00$3,700.62$5,915.006.1×
Cigna424$3,991.68$4,116.42$4,116.421.0×
medica (commercial) 94265 [3081118]424$3,451.14$4,074.84$4,074.841.2×
govt employees health assn [3081090]424$2,744.28$4,074.84$4,074.841.5×
healthpartners [3081368]421$251.00$4,074.84$4,074.8416.2×
national telephone cooperative assn 52103 [3081149]416$2,744.28$4,074.84$4,074.841.5×
Meritain Health416$3,991.68$4,116.42$4,116.421.0×
risk admin svs [3081167]416$388.72$1,857.56$3,326.408.6×
Aetna412$3,742.20$3,846.15$3,950.101.1×
Humana510$191.23$4,158.00$5,915.0030.9×
tlc advantage llc [3081189]59$3,617.46$3,908.52$4,069.261.1×
avera health plans 46045 [3081018]59$3,056.13$4,033.26$4,033.261.3×
midlands choice 47080 [3081136]48$3,991.68$4,116.42$4,116.421.0×
allied benefit systems inc [3081320]48$3,991.68$4,116.42$4,116.421.0×
coresource 38225 [3081146]48$2,702.70$3,742.20$3,742.201.4×
employee benefit management 12x44 [3081079]48$3,534.30$3,742.20$3,742.201.1×
fedmed inc [3081283]48$3,950.10$4,033.26$4,033.261.0×
health partners sx009 [3081102]48$2,577.96$4,074.84$4,074.841.6×
key benefit administrators [3081332]48$3,991.68$4,116.42$4,116.421.0×
pacificsource health plans [3081333]48$3,534.30$3,742.20$3,742.201.1×
preferred one 41147 [3081160]48$3,991.68$4,116.42$4,116.421.0×
rocky mountain admin llc 83028 [3081168]48$3,326.40$3,742.20$3,742.201.1×
sanford health plan 91184 [3081174]48$3,742.20$4,033.26$4,033.261.1×
surest [3081369]48$2,744.28$4,074.84$4,074.841.5×
va ccn optum [3081339]44$182.12$1,164.24$1,538.468.4×
Medicare44$1,164.24$1,351.35$5,915.005.1×
Multiplan24$3,742.20$3,887.73$4,033.261.1×
group and pension administrators inc [3081098]24$3,742.20$3,887.73$4,033.261.1×
va black hills health care system 12115 [3081206]44$182.12$1,164.24$1,538.468.4×
va black hills health care system 12115 [3081207]33$1,164.24$1,164.24$1,538.461.3×
VA Health33$1,164.24$1,164.24$1,538.461.3×
Health Net33$1,164.24$1,164.24$1,538.461.3×
triwest healthcare alliance [3081322]33$1,164.24$1,164.24$1,538.461.3×
minnesota health care programs 12k16 [3081295]12$1,259.87$1,259.87$1,259.871.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD6$4,329.00$4,329.00$966.00$5,915.00$5,915.00
Monument Health Custer HospitalCusterSD35$4,158.00$4,158.00$388.72$4,074.84$4,158.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$4,158.00$4,158.00$388.72$4,033.26$4,158.00
Monument Health Sturgis RegionalSturgisSD33$4,158.00$4,158.00$388.72$4,033.26$4,158.00
Monument Health Rapid City HospitalRapid CitySD31$4,158.00$4,158.00$182.12$2,785.86$3,991.68

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.