CT abdomen and pelvis with contrast at Liberty Hospital. CPT 74177.
What Liberty Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
$1,402cash price (self-pay)
$5,028list price
$89.62–$4,103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Freedom Network | $241 |
| Blue Cross Blue Shield | Freedom Network Select | $241 |
| Blue Cross Blue Shield | Blue Select Plus | $336 |
| Blue Cross Blue Shield | PAR Traditional | $336 |
| Blue Cross Blue Shield | Preferred Care Blue ACA | $336 |
| United Healthcare | Choice Plus | $336 |
| United Healthcare | HMO | $336 |
| United Healthcare | PPO | $336 |
| Aetna | Medicare Advantage | $349 |
| Blue Cross Blue Shield | Blue Care | $349 |
| Blue Cross Blue Shield | Blue Select/Blue Select Plus - ACA | $349 |
| United Healthcare | Medicare Advantage | $349 |
| AllWell Medicare Advantage | Medicare Advantage | $353 |
| Humana | Medicare Advantage | $356 |
| Healthy Blue | Healthy Blue Medicaid | $366 |
| PPHP Medicare Advantage | Medicare Advantage | $384 |
| UHC Community Plan of MO | UHC Community Plan Medicaid | $385 |
| Ambetter Health | Ambetter ACA | $444 |
| Home State Health | Home State Medicaid | $501 |
| Centivo | Nebraska Furniture Mart | $648 |
| Cigna | Cigna Local Plus | $717 |
| Cigna | HMO | $808 |
| Cigna | Open Access | $808 |
| Cigna | PPO | $808 |
| 6 Degrees Health | 6 Degrees Health | $840 |
| Aetna | Aetna Select | $1,403 |
| Aetna | Choice POS II | $1,403 |
| Aetna | HMO | $1,403 |
| Aetna | KC Network Plus | $1,403 |
| Aetna | Open Access | $1,403 |
Inpatient
$1,402cash price (self-pay)
$5,028list price
$1,403–$4,103range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Select | $1,403 |
| Aetna | Choice POS II | $1,403 |
| Aetna | HMO | $1,403 |
| Aetna | KC Network Plus | $1,403 |
| Aetna | Open Access | $1,403 |
| Aetna | Open Choice | $1,403 |
| Aetna | PPO | $1,403 |
| Allied National | Freedom Advantage | $3,017 |
| Blue Cross Blue Shield | Freedom Network Select | $3,540 |
| QuikTrip | QuikTrip | $4,022 |
| Blue Cross Blue Shield | Freedom Network | $4,103 |
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