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

What Box Butte General Hospital publishes for this service, straight from its standard-charges file, last updated August 18, 2026.

Outpatient / ER

$4,419cash price (self-pay)
$5,524list price
$1,222–$1,222range insurers pay
Insurance planNegotiated rate
Medica | Commercial$1,222
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All common services at Box Butte General Hospital