CT abdomen and pelvis with contrast at Rice County District Hospital. CPT 74177.
What Rice County District Hospital publishes for this service, straight from its standard-charges file, last updated August 14, 2026.
Outpatient / ER
$1,238cash price (self-pay)
$1,650list price
$252–$1,568range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Blue | Medicaid MCO | $252 |
| Sunflower Health Plan | Medicaid MCO | $252 |
| United Healthcare | Medicaid MCO | $252 |
| Blue Cross Blue Shield Kansas | POS | $480 |
| Wppa | PPO | $535 |
| Ambetter | PPO | $974 |
| Healthy Blue | Medicare Advantage | $974 |
| Sunflower Health Plan | Medicare Advantage | $974 |
| United Healthcare | Medicare Advantage | $974 |
| Health Choices | PPO | $1,271 |
| Medical Associates Health Plan | PPO | $1,271 |
| Aetna | PPO | $1,287 |
| United Healthcare | All Payer | $1,419 |
| Cigna | PPO | $1,568 |
| Health Partners of Kansas | PPO | $1,568 |
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