CT abdomen and pelvis with contrast at Amberwell Atchison Association. CPT 74177.
What Amberwell Atchison Association publishes for this service, straight from its standard-charges file, last updated August 18, 2026.
Outpatient / ER
$3,613cash price (self-pay)
$3,613list price
$480–$6,482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Choice | BCBS Blue Choice | $480 |
| BCBS Cap - All Other Plans | BCBS Cap - All Other Plans | $480 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $581 |
| Humana Mcr Adv | Humana Mcr Adv | $1,120 |
| Va Ccn - All Plans | Va Ccn - All Plans | $1,120 |
| Superior Select Mcr Adv - All Plans | Superior Select Mcr Adv - All Pl | $1,120 |
| Triwest - All Plans | Triwest - All Plans | $1,120 |
| UHC Mcr Adv | UHC Mcr Adv | $1,120 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,542 |
| Ambetter Comm - All Plans | Ambetter Comm - All Plans | $1,736 |
| Aetna Comm - All Plans | Aetna Comm - All Plans | $1,987 |
| Cigna - All Plans | Cigna - All Plans | $1,987 |
| Centrus Health Direct - All Plans | Centrus Health Direct - All Plans | $2,710 |
| Oscar - All Plans | Oscar - All Plans | $2,710 |
| Multiplan - All Plans | Multiplan - All Plans | $2,818 |
| Wppa Providrs Care - All Plans | Wppa Providrs Care - All Plans | $3,252 |
| UHC Mcaid | UHC Mcaid | $6,482 |
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