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CT abdomen and pelvis with contrast at Hermann Area District Hospital. CPT 74177.

What Hermann Area District Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.

Outpatient / ER

$2,013cash price (self-pay)
$3,356list price
$515–$4,878range insurers pay
Insurance planNegotiated rate
Healthlink HMO | Healthlink HMO$515
Care Partners Mcaid- All Plans | Care Partners Mcaid- All Plans$562
UHC Comm/Marketplace - All Other Plans | UHC Comm/Marketplace - All Ot$585
Healthlink PPO - All Other Plans | Healthlink PPO - All Other Plans$618
UHC Va Ccn | UHC Va Ccn$1,309
Tricare - All Plans | Tricare - All Plans$1,329
UHC Mcr Adv | UHC Mcr Adv$1,409
Choicecare Mcr Adv- All Plans | Choicecare Mcr Adv- All Plans$1,409
American Hlth Mcr Adv- All Plans | American Hlth Mcr Adv- All Plans$1,476
Anthem Mcr Adv | Anthem Mcr Adv$1,476
Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans$1,476
Aetna Mcr Adv | Aetna Mcr Adv$1,506
Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans$1,506
Cigna - All Plans | Cigna - All Plans$1,829
Harmony Hp Mcaid- All Plans | Harmony Hp Mcaid- All Plans$1,946
Healthcare Usa Mcaid- All Plans | Healthcare Usa Mcaid- All Plans$2,181
Anthem Blue Preferred | Anthem Blue Preferred$2,238
Anthem Blue Access Alliance | Anthem Blue Access Alliance$2,238
Centene Marketplace Ambetter - All Other Plans | Centene Marketplace A$2,362
Multiplan/Phcs - All Plans | Multiplan/Phcs - All Plans$2,517
Anthem Rightchoice Trad - All Other Plans | Anthem Rightchoice Trad - $2,731
Coventry - All Plans | Coventry - All Plans$2,852
Three Rivers - All Plans | Three Rivers - All Plans$3,020
Comp Results - All Plans | Comp Results - All Plans$3,020
Aetna - All Other Plans | Aetna - All Other Plans$3,188
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All common services at Hermann Area District Hospital