CT abdomen and pelvis with contrast at Freeman Neosho Hospital Inpatient Critical Access. CPT 74177.
What Freeman Neosho Hospital Inpatient Critical Access publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,285cash price (self-pay)
$8,213list price
$349–$1,481range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Vaccn | Government | $349 |
| Unitedhealthcare | Exchange | $437 |
| Unitedhealthcare | All Commercial Plans | $490 |
| Unitedhealthcare | Core Other Commercial Plan | $490 |
| Ambetter Health | Other Commercial Plan | $507 |
| Blue Cross | Pathway Essentials Exchange | $670 |
| Blue Cross | Pathway Exchange | $670 |
| Blue Cross | Blue Preferred Ppo | $672 |
| Healthchoice | All Commercial Plans | $802 |
| Blue Cross | Blue Access Ppo | $1,481 |
| Blue Cross | Traditional | $1,481 |
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All common services at Freeman Neosho Hospital Inpatient Critical Access