How much does Medicare pay for CPT 74176?

Medicare allowed an average of $90.05 per service and paid $67.94 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $555.62, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 74176?

Ct scan of abdomen and pelvis without contrast. It was billed 1,923,949 times to 1,871,143 Medicare beneficiaries by 22,065 providers in 2024.

Does 74176 pay differently in an office than a hospital?

Yes. The allowed amount averaged $138.92 in an office setting and $80.65 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 74176 most?

Diagnostic Radiology, with 1,785,009 services from 19,499 clinicians. Next are Interventional Radiology, Independent Diagnostic Testing Facility (IDTF), Urology.

CPT 74176

Ct scan of abdomen and pelvis without contrast

$90.05Medicare-allowed amount per service, averaged across 1,923,949 services

Providers submitted

$555.62

Asking price, not received

Medicare allowed

$90.05

The fee schedule figure

Medicare paid

$67.94

Balance is patient coinsurance

Providers submitted an average of $555.62 for this code and Medicare allowed $90.05 — 6.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $67.94 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $138.92
Hospital / facility: $80.65

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 310,535 services were billed in an office setting and 1,613,414 in a facility.

Services: 1,923,949
Beneficiaries: 1,871,143
Providers billing it: 22,065
Total allowed: $173,251,607

What Medicare pays for CPT 74176

Across 1,923,949 services billed by 22,065 providers to 1,871,143 beneficiaries, Medicare allowed an average of $90.05 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 74176

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	1,785,009	1,739,054	$88.50	19,499
Interventional Radiology	62,884	61,362	$87.55	839
Independent Diagnostic Testing Facility (IDTF)	30,283	28,444	$158.75	441
Urology	18,997	17,603	$107.04	509
Hematology-Oncology	3,954	3,297	$115.74	161
Nuclear Medicine	3,754	3,475	$114.91	64
Internal Medicine	2,835	2,677	$107.15	84
Radiation Oncology	2,798	2,640	$113.22	65
Family Practice	2,279	2,134	$108.81	79
Nurse Practitioner	2,243	2,142	$96.36	78
Emergency Medicine	1,665	1,629	$127.44	55
Medical Oncology	1,291	1,065	$105.22	55
Physician Assistant	1,038	978	$103.78	42
Vascular Surgery	680	667	$80.68	7
Cardiology	631	616	$146.85	18

74176 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	185,522	$99.71	$67.55	2,017
Florida	157,542	$99.18	$72.54	1,458
Texas	149,599	$88.54	$65.84	1,680
New York	107,159	$105.08	$70.64	1,225
Illinois	87,628	$86.70	$62.44	968
Pennsylvania	78,970	$84.63	$61.39	962
Minnesota	72,476	$85.00	$61.87	817
Ohio	63,844	$81.72	$60.07	793
North Carolina	60,577	$84.50	$63.74	784
New Jersey	57,925	$101.78	$69.54	609
Georgia	55,383	$85.40	$63.56	648
Virginia	54,792	$88.09	$64.86	564
Maryland	54,678	$104.94	$73.85	396
Tennessee	50,727	$84.72	$64.96	585
Missouri	50,686	$81.81	$62.09	534
Michigan	47,447	$82.49	$60.40	621
Massachusetts	43,081	$87.13	$60.91	569
Indiana	39,265	$81.87	$62.06	442
Arizona	35,803	$97.91	$72.43	387
South Carolina	32,889	$84.74	$64.65	399
Colorado	31,279	$88.20	$62.75	403
Alabama	30,863	$82.45	$63.13	357
Washington	30,155	$88.21	$61.93	434
Oklahoma	25,581	$80.82	$61.34	245
Kentucky	25,457	$81.01	$61.11	266
Wisconsin	25,418	$80.05	$59.20	496
Mississippi	25,400	$83.22	$64.53	211
Louisiana	24,427	$82.63	$62.44	306
Connecticut	22,273	$90.11	$63.74	288
Arkansas	20,335	$80.14	$62.82	212
Kansas	19,744	$82.41	$63.36	196
Nevada	14,798	$91.51	$67.81	184
West Virginia	14,708	$78.81	$57.12	123
Nebraska	13,941	$81.31	$62.22	165
Oregon	12,839	$83.03	$60.25	236
Iowa	12,114	$82.29	$62.14	182
Utah	8,426	$88.38	$66.15	171
Delaware	8,383	$91.36	$66.75	59
New Hampshire	8,296	$83.53	$60.09	125
New Mexico	7,686	$85.12	$61.17	106
District of Columbia	7,152	$99.58	$68.89	68
Idaho	6,920	$82.05	$59.76	125
Rhode Island	6,641	$92.21	$64.92	86
Maine	5,518	$81.69	$57.82	101
Hawaii	5,224	$89.68	$63.19	74
Montana	4,392	$83.36	$60.81	64
South Dakota	4,135	$81.03	$58.68	76
North Dakota	4,105	$79.37	$58.79	61
Alaska	3,388	$110.26	$63.65	53
Wyoming	2,672	$88.02	$64.94	35
Vermont	2,267	$83.99	$60.52	29
Puerto Rico	2,194	$91.34	$65.17	50
AA	391	$78.64	$57.81	2
AP	263	$95.95	$65.78	4
Guam	245	$116.50	$75.21	6
ZZ	129	$78.58	$59.18	2

Related codes

74177Ct scan of abdomen and pelvis$105.68
74183Mri scan of abdomen before and after contrast$175.35
74178Ct scan of abdomen and pelvis before and after contrast$176.76
74174Ct scan of blood vessels of abdomen and pelvis$117.69
74181Mri scan of abdomen without contrast$93.69
74170Ct scan of abdomen before and after contrast$127.64
74160Ct scan of abdomen$107.50
74150Ct scan of abdomen without contrast$93.55
74175Ct scan of blood vessels of abdomen$104.72
74185Mri scan of blood vessels of abdomen$211.76

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.