CT abdomen and pelvis with contrast at Great Plains of Sabetha. CPT 74177.
What Great Plains of Sabetha publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$665cash price (self-pay)
$666list price
$346–$674range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Celtic Mcr Adv | Celtic Mcr Adv | $346 |
| Aetna Mcr Adv | Aetna Mcr Adv | $350 |
| Celtic Comm Exchange-All Other Plans | Celtic Comm Exchange-All Other | $433 |
| Great West Healthcare-All Plans | Great West Healthcare-All Plans | $566 |
| Aetna Coventry | Aetna Coventry | $566 |
| UHC-All Other Plans | UHC-All Other Plans | $619 |
| Aetna First Health-All Other Plans | Aetna First Health-All Other Plan | $633 |
| Multiplan-Phcs-All Plans | Multiplan-Phcs-All Plans | $633 |
| Century/Wppa/Providers-All Plans | Century/Wppa/Providers-All Plans | $633 |
| Health Partners Ks-Cigna-All Plans | Health Partners Ks-Cigna-All Plan | $633 |
| Health Partners Ks-Humana-All Plans | Health Partners Ks-Humana-All Pl | $633 |
| Federated Mutual Ins-All Plans | Federated Mutual Ins-All Plans | $639 |
| BCBS Blue Choice | BCBS Blue Choice | $666 |
| BCBS Ks Cap-All Other Plans | BCBS Ks Cap-All Other Plans | $666 |
| Sunflower Medicaid | Sunflower Medicaid | $666 |
| Sunflower Kancare - All Other Plans | Sunflower Kancare - All Other Pl | $666 |
| UHC Medicaid | UHC Medicaid | $666 |
| Aetna Better Health Medicaid | Aetna Better Health Medicaid | $673 |
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