CT abdomen and pelvis with contrast at Doctors' Center Hospital - San Fernando de la Carolina. CPT 74177.
What Doctors' Center Hospital - San Fernando de la Carolina publishes for this service, straight from its standard-charges file.
Outpatient / ER
$275cash price (self-pay)
$275list price
$214–$450range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Advantage | Advantage Plans | $214 |
| International Medical Card | Commercial | $275 |
| MCS Life Insurance | PPO | $381 |
| Plan de Salud Menonita | Commercial | $383 |
| Mapfre | Commercial | $400 |
| Humana | Commercial | $428 |
| Triple-S | Commercial | $450 |
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All common services at Doctors' Center Hospital - San Fernando de la Carolina