CT abdomen and pelvis with contrast at Neosho Memorial Regional Medical Center. CPT 74177.
What Neosho Memorial Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$3,494cash price (self-pay)
$4,659list price
$181–$4,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kancare_healthy_blue | Kansas BCBS Medicaid | $181 |
| Kancare_sunflower | Sunflower Medicaid Managed Care | $181 |
| Kancare_uhc | Kancare United Healthcare Medicaid | $181 |
| Medicaid_ks | Kansas Medicaid | $181 |
| Bcbs_kansas | Blue Cross Blue Shield Of Kansas | $531 |
| Tricare | Tricare | $1,436 |
| Medadv_aetna | Aetna Medicare Advantage | $1,491 |
| Medadv_allwell | Allwell Medicare Advantage | $1,491 |
| Medadv_bcbs | Blue Cross Medicare Advantage | $1,491 |
| Medadv_humana | Humana Medicare Advantage | $1,491 |
| Medadv_uhc | United Medicare Advantage | $1,491 |
| Medicare | Medicare | $1,491 |
| Va_ccn | Va Ccn | $1,491 |
| Ambetter | Ambetter Insurance Exchange | $2,348 |
| Wppa_providrscare | Wppa Providerscare Network | $3,867 |
| United | United Healthcare | $3,876 |
| Cigna | Cigna | $4,426 |
| Coventry | Coventry Health Care | $4,426 |
| Hpk | Health Partners Of Kansas | $4,426 |
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All common services at Neosho Memorial Regional Medical Center