CT abdomen and pelvis with contrast at Bob Wilson Memorial Grant County Hospital. CPT 74177.
What Bob Wilson Memorial Grant County Hospital publishes for this service, straight from its standard-charges file, last updated February 3, 2026.
Outpatient / ER
$2,044cash price (self-pay)
$5,110list price
$337–$4,854range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $337 |
| Blue Cross Blue Shield of Kansas | Commercial PPO/HMO | $641 |
| Aetna | Managed Medicare | $1,635 |
| Humana | Managed Medicare | $1,635 |
| Kansas Health | Managed Medicare | $1,635 |
| Managed Medicare | Managed Medicare | $1,635 |
| Medicare | Medicare | $1,635 |
| United Healthcare | Managed Medicare | $1,635 |
| Aetna | Commercial | $4,088 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $4,261 |
| Multiplan | Commercial Primary | $4,599 |
| Multiplan | Commercial Complementary | $4,752 |
| Health Partners of Kansas | Commercial | $4,803 |
| WPPA | Commercial | $4,854 |
Inpatient
$2,044cash price (self-pay)
$5,110list price
$4,088–$4,854range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $4,088 |
| United Healthcare | Commercial PPO/POS/HMO/EPO | $4,261 |
| Multiplan | Commercial Primary | $4,599 |
| Multiplan | Commercial Complementary | $4,752 |
| Health Partners of Kansas | Commercial | $4,803 |
| WPPA | Commercial | $4,854 |
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All common services at Bob Wilson Memorial Grant County Hospital