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CT abdomen and pelvis with contrast at Simpson General Hospital. CPT 74177.

What Simpson General Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2025.

Outpatient / ER

$140cash price (self-pay)
$1,700list price
$152–$2,423range insurers pay
Insurance planNegotiated rate
UHC Mcaid | UHC Mcaid$221
Magnolia Hp Mcaid - All Plans | Magnolia Hp Mcaid - All Plans$233
Ambetter Exch - All Plans | Ambetter Exch - All Plans$532
UHC Va Ccn | UHC Va Ccn$532
BCBS - All Plans | BCBS - All Plans$841
Usa Hlth Network - All Plans | Usa Hlth Network - All Plans$883
Aetna - All Plans | Aetna - All Plans$1,365
Adv Hlth Systems - All Plans | Adv Hlth Systems - All Plans$1,706
UHC - All Other Plans | UHC - All Other Plans$1,820
Health Partners - All Plans | Health Partners - All Plans$1,820
Ms Phys Care Network - All Plans | Ms Phys Care Network - All Plans$1,934
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All common services at Simpson General Hospital