CT abdomen and pelvis with contrast at Decatur County Hospital. CPT 74177.
What Decatur County Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$2,987cash price (self-pay)
$3,734list price
$1,042–$3,921range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark HMO | Wellmark HMO | $1,042 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $1,146 |
| Blue Cross-All Plans | Blue Cross-All Plans | $1,195 |
| Champva -All Plans | Champva -All Plans | $1,680 |
| Everystep Hospice-All Plans | Everystep Hospice-All Plans | $1,942 |
| Aetna Mcr Adv-All Plans | Aetna Mcr Adv-All Plans | $2,016 |
| Tricare-All Plans | Tricare-All Plans | $2,016 |
| Optum Va | Optum Va | $2,240 |
| Benefit Admin System-All Plans | Benefit Admin System-All Plans | $2,427 |
| Humana-All Plans | Humana-All Plans | $2,726 |
| Meritain Health-All Plans | Meritain Health-All Plans | $2,726 |
| Misc Commercial-All Plans | Misc Commercial-All Plans | $2,726 |
| All Savers-All Plans | All Savers-All Plans | $2,801 |
| Allied Benefit System-All Plans | Allied Benefit System-All Plans | $2,801 |
| American Family Ins Grp-All Plans | American Family Ins Grp-All Plans | $2,801 |
| Rural Carrier Benefit Plan-All Plans | Rural Carrier Benefit Plan-All | $2,875 |
| Aetna Life Ins | Aetna Life Ins | $2,950 |
| Aetna-All Other Plans | Aetna-All Other Plans | $2,950 |
| Christian Healthcare -All Plans | Christian Healthcare -All Plans | $2,987 |
| Medica-All Other Plans | Medica-All Other Plans | $2,987 |
| Golden Rule-All Plans | Golden Rule-All Plans | $3,174 |
| Ntca The Rural Broadband-All Plans | Ntca The Rural Broadband-All Plan | $3,174 |
| UHC River Valle | UHC River Valle | $3,174 |
| UHC-All Other Plans | UHC-All Other Plans | $3,174 |
| Umr-All Plans | Umr-All Plans | $3,174 |
| Cigna Health And Life | Cigna Health And Life | $3,211 |
| Cigna-All Other Plans | Cigna-All Other Plans | $3,211 |
| Medical Mutual-All Plans | Medical Mutual-All Plans | $3,286 |
| Farm Bureau Financial-All Other Plans | Farm Bureau Financial-All Othe | $3,361 |
| Farm Bureau Property And CA | Farm Bureau Property And CA | $3,361 |
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