CT abdomen and pelvis with contrast at Brown County Hospital. CPT 74177.
What Brown County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,731cash price (self-pay)
$4,975list price
$477–$9,950range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $1,980 |
| Midlands Choice | Commercial | $2,821 |
| Ambetter | Medicare Advantage | $3,333 |
| Aetna | Commercial | $3,731 |
| Ambetter | Commercial | $4,726 |
| Blue Cross Blue Shield of Nebraska | Commercial | $4,726 |
| Medica | Commercial | $4,726 |
| Oscar Health | Commercial | $9,950 |
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