CT abdomen and pelvis with contrast at Mitchell County Hospital Health Systems. CPT 74177.
What Mitchell County Hospital Health Systems publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$3,524cash price (self-pay)
$3,916list price
$356–$3,916range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Va Ccn | UHC Va Ccn | $356 |
| BCBS - All Plans | BCBS - All Plans | $458 |
| Triwest Well Mark All Plans | Triwest Well Mark All Plans | $3,329 |
| Aetna-All Plans | Aetna-All Plans | $3,524 |
| First Health-All Plans | First Health-All Plans | $3,524 |
| Pref Hlth Care Sytms Comm - All Plans | Pref Hlth Care Sytms Comm - Al | $3,524 |
| Auxiant-All Plans | Auxiant-All Plans | $3,720 |
| Phc Leased Ntwrk Access - All Plans | Phc Leased Ntwrk Access - All Pl | $3,720 |
| UHC-All Other Plans | UHC-All Other Plans | $3,720 |
| Multiplan PPO - All Plans | Multiplan PPO - All Plans | $3,720 |
| Cigna-All Plans | Cigna-All Plans | $3,877 |
| Health Partners Ks-All Plans | Health Partners Ks-All Plans | $3,877 |
| UHC Medicaid | UHC Medicaid | $3,916 |
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All common services at Mitchell County Hospital Health Systems