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#159 of 11K

74176

CT abdomen and pelvis without contrast

CT abdomen and pelvis without contrast is the #159 most-billed Medicaid procedure code, with $1.10B in payments across 10.2M claims from 2018–2024. The national median cost per claim is $60.19. Costs vary widely — the 90th percentile is $261.89 per claim, 4.4× the median.

Total Paid

$1.10B

0.10% of all spending

Total Claims

10.2M

Providers

6K

Avg Cost/Claim

$107

National Cost Distribution

How much do providers bill per claim for 74176? Based on 6K providers billing this code nationally.

Median

$60.19

Average

$112.18

Std Dev

$145.70

Max

$2,561.96

Percentile Distribution (Cost per Claim)

p10
$27.24
p25
$37.91
Median
$60.19
p75
$126.94
p90
$261.89
p95
$361.62
p99
$734.68

50% of providers bill between $37.91 and $126.94 per claim for this code.

90% bill between $27.24 and $261.89.

Top 1% bill above $734.68.

About This Procedure

HCPCS code 74176 (CT abdomen and pelvis without contrast) was billed by 6K providers across 10.2M claims, totaling $1.10B in Medicaid payments from 2018–2024. This code was used for 9.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$60.19

Providers Billing

6K

National Spending

$1.10B

Avg/Median Ratio

1.86×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 74176

#ProviderTotal Paid
11487608931$6.8M
2Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$6.8M
3Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$5.4M
41619038247$5.2M
51306842521$4.7M
61215394036$4.4M
7Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$4.4M
8The Queens Medical Center

Honolulu, HI · Psychiatric Unit

$4.3M
9Banner Thunderbird Medical Center

Glendale, AZ · Community/Behavioral Health

$4.2M
10University Of Kentucky

Lexington, KY · General Acute Care Hospital

$4.1M
11Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$4.1M
121275566200$4.1M
13Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$3.9M
14Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$3.7M
151437150984$3.7M
161528299989$3.5M
171609869916$3.5M
18Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$3.5M
19Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$3.4M
201033745708$3.4M

Showing top 20 of 6K providers billing this code