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CT abdomen and pelvis with contrast at Haxtun Hospital. CPT 74177.

What Haxtun Hospital publishes for this service, straight from its standard-charges file.

Outpatient / ER

$2,840cash price (self-pay)
$3,786list price
$2,093–$3,672range insurers pay
Insurance planNegotiated rate
Cigna | Commercial$2,093
Blue Cross Blue Shield | Commercial$3,279
Aetna | Commercial$3,604
United Healthcare | Commercial$3,635
Northcare | Commercial$3,672
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All common services at Haxtun Hospital