CT abdomen and pelvis with contrast at Boone County Health Center. CPT 74177.
What Boone County Health Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4,754cash price (self-pay)
$4,754list price
$177–$5,990range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $177 |
| Aetna | Commercial | $214 |
| Blue Cross Blue Shield | Medicare Advantage | $2,995 |
| Good Samaritan Insurance Plan of Nebraska | Commercial | $2,995 |
| Nebraska Total Care | Medicare Advantage | $3,085 |
| Blue Cross Blue Shield | Commercial | $4,516 |
| Medica | Commercial | $4,564 |
| Ambetter | Commercial - Exchange | $4,611 |
| Midlands Choice | Commercial | $4,659 |
| Oscar Health | Commercial | $5,391 |
| Bryan Health Connect | Commercial | $5,990 |
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