CT abdomen and pelvis with contrast at Kiowa County Memorial Hospital. CPT 74177.
What Kiowa County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$1,148cash price (self-pay)
$1,350list price
$458–$2,025range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS-All Other Plans | BCBS-All Other Plans | $458 |
| UHC Military & Va | UHC Military & Va | $1,081 |
| Health Partners Of Ks-All Plans | Health Partners Of Ks-All Plans | $1,188 |
| Aetna Better Health Mcare-All Plans | Aetna Better Health Mcare-All Pl | $1,202 |
| Humana Medicare-All Plans | Humana Medicare-All Plans | $1,202 |
| BCBS Mcare Advan | BCBS Mcare Advan | $1,202 |
| Celtic Comml Exchange-All Other Plans | Celtic Comml Exchange-All Othe | $1,202 |
| Medica Prime Mcare Cost-All Plans | Medica Prime Mcare Cost-All Plans | $1,202 |
| Amerigroup Medicaid-All Plans | Amerigroup Medicaid-All Plans | $1,350 |
| Celtic Medicaid | Celtic Medicaid | $1,350 |
| UHC Medicaid Chip-All Other Plans | UHC Medicaid Chip-All Other Plans | $1,350 |
| Providrs Care/Wppa-All Plans | Providrs Care/Wppa-All Plans | $2,025 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.