CT abdomen and pelvis with contrast at Butler County Health. CPT 74177.
What Butler County Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$5,841cash price (self-pay)
$5,841list price
$711–$6,093range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | Commercial | $711 |
| United Healthcare | Medicare Advantage | $2,031 |
| Medica | Medicare Advantage | $2,231 |
| Blue Cross and Blue Shield of Nebraska | Select BlueChoice | $2,859 |
| Humana | Medicare Advantage | $3,329 |
| Ambetter | Commercial | $5,549 |
| Blue Cross and Blue Shield of Nebraska | PPO | $5,549 |
| MultiPlan | Commercial | $5,549 |
| Nebraska Total Care | Ambetter | $5,549 |
| Aetna | Commercial | $5,660 |
| Cigna | Commercial | $5,724 |
| Corvel | PPO | $5,724 |
| Medica | Commercial | $5,724 |
| Three Rivers | Commercial | $5,724 |
| United Healthcare | Commercial | $5,724 |
| Blue Cross and Blue Shield of Nebraska | Medicare Advantage | $6,093 |
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