CT abdomen and pelvis with contrast at Hills and Dales General Hospital. CPT 74177.
What Hills and Dales General Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$703cash price (self-pay)
$3,056list price
$1,711–$2,934range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance Plan | PPO | $1,711 |
| Mclaren | HMO | $1,986 |
| Priority Health | PPO | $2,384 |
| United Health | PPO | $2,720 |
| Aetna | ppo | $2,750 |
| Blue Care Network | HMO | $2,842 |
| Blue Cross Blue Shield | PPO | $2,842 |
| Asr | PPO | $2,903 |
| Mclaren | PPO | $2,934 |
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