CT abdomen and pelvis with contrast at Bates County Memorial Hospital. CPT 74177.
What Bates County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 20, 2026.
Outpatient / ER
$176cash price (self-pay)
$3,095list price
$66.03–$4,138range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Home State Health Plan | Managed Medicaid | $66.03 |
| Healthy Blue | Managed Medicaid | $72.63 |
| United Healthcare | Managed Medicaid | $72.63 |
| Aetna | Medicare Advantage | $268 |
| Blue Cross Blue Shield | Medicare Advantage | $268 |
| Centene-Ambetter | Marketplace | $268 |
| Cigna | Medicare Advantage | $268 |
| Humana/Choice Care | Commercial | $268 |
| Humana/Choice Care | Medicare Advantage | $268 |
| United Healthcare | Medicare Advantage | $268 |
| Aetna | Commercial | $2,630 |
| Blue Cross Blue Shield | All PPO Plans | $2,630 |
| Blue Cross Blue Shield | Participating/Traditional | $2,630 |
| Cigna | Commercial | $2,630 |
| United Healthcare | Commercial | $2,630 |
Inpatient
$2,166cash price (self-pay)
$3,981list price
$2,630–$4,138range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $3,384 |
| Blue Cross Blue Shield | All PPO Plans | $3,384 |
| Blue Cross Blue Shield | Participating/Traditional | $3,384 |
| Cigna | Commercial | $3,384 |
| United Healthcare | Commercial | $3,384 |
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