CT abdomen and pelvis with contrast at Arkansas Valley Regional Medical Center. CPT 74177.
What Arkansas Valley Regional Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,520cash price (self-pay)
$4,200list price
$1,260–$4,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Insurance Company | Medicare Advantage | $1,260 |
| Kaiser Permanente Insurance Company | Medicare Advantage | $1,302 |
| Blue Cross Blue Shield | Commercial | $3,654 |
| Aetna | Commercial | $3,780 |
| America | PPO | $3,780 |
| Humana Inc. | Commercial | $3,780 |
| Kaiser Permanente Insurance Company | Commercial | $3,780 |
| Meritain Health | Commercial | $3,780 |
| Muti-Plan | Commercial | $3,780 |
| Rocky Mountain Hospital & Medical | Commercial | $3,906 |
| Cigna Health and Life Insurance Co | Commercial | $3,990 |
| Select Health | Commercial | $3,990 |
| Blue Cross Blue Shield | Medicare Advantage | $4,200 |
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All common services at Arkansas Valley Regional Medical Center