CT abdomen and pelvis with contrast at Southwest Health System. CPT 74177.
What Southwest Health System publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,750cash price (self-pay)
$3,500list price
$1,015–$3,360range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross and Blue Shield | Medicare Advantage | $1,015 |
| Humana ChoiceCare | Medicare Advantage | $1,015 |
| Anthem Blue Cross and Blue Shield | Commercial | $3,080 |
| Rocky Mountain Health Maintenance Organization Inc. | Commercial | $3,220 |
| Aetna | Commercial | $3,273 |
| Cigna | Commercial | $3,273 |
| Cofinity | Commercial | $3,273 |
| Great West | Commercial | $3,290 |
| Humana ChoiceCare | Commercial | $3,325 |
| Kaiser Permanente | Commercial | $3,325 |
| Coventry | Commercial | $3,360 |
| United Healthcare Insurance Company | Commercial | $3,360 |
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