CT abdomen and pelvis with contrast at Chadron Community Hospital. CPT 74177.
What Chadron Community Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,581cash price (self-pay)
$5,115list price
$2,296–$5,115range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial | $2,296 |
| Blue Cross Blue Shield | Commercial | $2,859 |
| United Healthcare | Commercial | $4,859 |
| America's Choice Provider Network | Commercial | $4,910 |
| Blue Cross Blue Shield | PPO | $4,910 |
| Blue Cross Blue Shield | Network Blue | $4,910 |
| Coventry Health | Commercial | $4,910 |
| Midland's Choice | Commercial | $4,910 |
| Nebraska Total Care | Commercial - Exchange | $5,115 |
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