CT abdomen and pelvis with contrast at Trego County Lemke Memorial Hospital. CPT 74177.
What Trego County Lemke Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$684cash price (self-pay)
$805list price
$394–$805range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana-All Plans | Humana-All Plans | $394 |
| Tricare-All Plans | Tricare-All Plans | $426 |
| Aetna Mcr Adv | Aetna Mcr Adv | $499 |
| Va Ccn - All Plans | Va Ccn - All Plans | $499 |
| Sunflower Mcr | Sunflower Mcr | $499 |
| UHC Mcr Adv | UHC Mcr Adv | $499 |
| Ambetter Exch - All Plans | Ambetter Exch - All Plans | $549 |
| BCBS - All Plans | BCBS - All Plans | $657 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $684 |
| Umr - All Plans | Umr - All Plans | $684 |
| Aetna-All Other Plans | Aetna-All Other Plans | $725 |
| Health Partners - All Plans | Health Partners - All Plans | $765 |
| Healthy Blue Mcaid - All Plans | Healthy Blue Mcaid - All Plans | $805 |
| UHC Mcaid | UHC Mcaid | $805 |
| Sunflower Mcaid - All Other Plans | Sunflower Mcaid - All Other Plans | $805 |
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