CT abdomen and pelvis with contrast at Northeast Regional Medical Center. CPT 74177.
What Northeast Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,959cash price (self-pay)
$8,161list price
$304–$6,807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | MO Medicaid | $304 |
| Non Par Medicaid | MO Medicaid NON PAR | $304 |
| Veterans Eval Services | Veterans Eval Services | $307 |
| NODE ChampVA | NODE ChampVA | $352 |
| NODE Tricare | NODE Tricare | $352 |
| NODE Medicare Non Par | NODE Medicare Non Par | $368 |
| NODE Medicare Traditional | NODE Medicare Traditional | $368 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $374 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $374 |
| NODE Anthem MCR ADV | NODE Anthem MCR ADV | $376 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $387 |
| Blue Pathway/Pathway X | Blue Pathway/Pathway X | $432 |
| Home State Medicaid | Home State Medicaid | $457 |
| Centurion Correctional | Centurion Correctional | $468 |
| US Department of Labor | NODE US Dept of Labor | $468 |
| Missouri Care Health Plan Medicaid Healthy Blue | Missouri Care Health | $496 |
| UHC Medicaid | UHC Medicaid | $502 |
| Home State Exchange | Home State Exchange | $674 |
| Naphcare | Naphcare | $711 |
| Immergrun | Immergrun | $749 |
| Blue Prefrerred | Blue Preferred | $905 |
| Blue Access | Blue Access | $932 |
| Self Pay | Self Pay | $1,959 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $2,489 |
| Cigna | Cigna AT Still | $2,775 |
| Aetna | Aetna Truman | $3,036 |
| Cigna | Cigna | $3,191 |
| Aetna | Aetna ALL | $3,689 |
| Aetna | Aetna First Health | $3,689 |
| Aetna | Aetna Coventry | $3,909 |
Inpatient
$4,489cash price (self-pay)
$8,161list price
$2,489–$6,807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $2,489 |
| Cigna | Cigna AT Still | $2,775 |
| Aetna | Aetna Truman | $3,036 |
| Cigna | Cigna | $3,191 |
| Aetna | Aetna ALL | $3,689 |
| Aetna | Aetna First Health | $3,689 |
| Aetna | Aetna Coventry | $3,909 |
| Self Pay | Self Pay | $4,489 |
| Access Health Services, LLC | Vantos Health Employee Plan | $5,305 |
| Multiplan | Multiplan Primary | $6,121 |
| Coventry Wc | Coventry Wc | $6,529 |
| Multiplan | Multiplan Complementary | $6,529 |
| Aetna | Aetna Auto | $6,807 |
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