CT abdomen and pelvis with contrast at Kiowa District Hospital. CPT 74177.
What Kiowa District Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$704cash price (self-pay)
$889list price
$343–$1,450range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare-All Plans | Tricare-All Plans | $347 |
| BCBS-All Plans | BCBS-All Plans | $453 |
| UHC-All Other Plans | UHC-All Other Plans | $711 |
| Healthchoice-All Plans | Healthchoice-All Plans | $764 |
| Health Partners Of Ks-All Plans | Health Partners Of Ks-All Plans | $782 |
| Humana Veterans-All Plans | Humana Veterans-All Plans | $802 |
| Gbs Insurance - All Plans | Gbs Insurance - All Plans | $836 |
| Multiplan-All Plans | Multiplan-All Plans | $836 |
| Aetna Better Hlth Mcr-All Plans | Aetna Better Hlth Mcr-All Plans | $845 |
| Railroad Medicare-All Plans | Railroad Medicare-All Plans | $845 |
| Triwest-All Plans | Triwest-All Plans | $845 |
| UHC Va Ccn | UHC Va Ccn | $845 |
| UHC Medicaid | UHC Medicaid | $889 |
| Sunflower Medicaid-All Plans | Sunflower Medicaid-All Plans | $889 |
| Providers Care (Wppa)-All Plans | Providers Care (Wppa)-All Plans | $1,334 |
| Liberty Healthshare-All Plans | Liberty Healthshare-All Plans | $1,436 |
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