CT abdomen and pelvis with contrast at Belton Regional Medical Center. CPT 74177.
What Belton Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,872cash price (self-pay)
$11,374list price
$207–$17,889range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | WCOMPMissouri | $348 |
| CorVel Corporation | KSWC | $413 |
| Multiplan | WCOMPKansas | $424 |
| OHA Network | KansasWCOMP | $431 |
| Cigna | SureFit/LocalPlus | $454 |
| Aetna | IVLHIX | $474 |
| Aetna | KCCarePlus | $500 |
| Cigna | LocalKC | $526 |
| Cigna | Comm | $659 |
| Aetna | Local | $667 |
| Aetna | National | $811 |
| United | AllPayerAppendix | $828 |
| Anthem MissouriCare | MissouriCareMGMCD | $1,479 |
| Ambetter | Commercial-Exchange | $2,116 |
| NHC Advantage | MGMCD | $2,161 |
| NHC Advantage | MGMCR | $2,161 |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $2,161 |
| Humana | ASO | $2,571 |
| Humana | EPO | $2,571 |
| Humana | HMO | $2,571 |
| BCBS | FreedomNetworkSelect | $2,616 |
| United | OptionsPPO | $2,775 |
| Humana | POS | $3,242 |
| Humana | PPO | $3,242 |
| Universal Healthcare | MCR | $3,981 |
| BCBS | FreedomNetwork | $4,095 |
| BCBS | PC | $4,095 |
| Coventry | WCOMP | $4,572 |
| BCBS | Participating | $4,663 |
| BCBS | Traditional | $4,663 |
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