CT abdomen and pelvis with contrast at Nemaha Valley Community Hospital. CPT 74177.
What Nemaha Valley Community Hospital publishes for this service, straight from its standard-charges file, last updated September 16, 2026.
Outpatient / ER
$2,178cash price (self-pay)
$2,444list price
$480–$2,345range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Ks - All Plans | BCBS Ks - All Plans | $480 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $1,075 |
| Va Ccn - All Plans | Va Ccn - All Plans | $1,075 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,086 |
| Celtic Comm Exch - All Plans | Celtic Comm Exch - All Plans | $1,183 |
| Partners Direct Health - All Plans | Partners Direct Health - All Plan | $1,271 |
| Aetna/Coventry - All Other Plans | Aetna/Coventry - All Other Plans | $2,077 |
| Multiplan - All Plans | Multiplan - All Plans | $2,200 |
| Health Partners - All Plans | Health Partners - All Plans | $2,322 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $2,322 |
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