CT abdomen and pelvis with contrast at Cozad Community Hospital. CPT 74177.
What Cozad Community Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4,165cash price (self-pay)
$4,628list price
$2,592–$4,628range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Advantage | $2,592 |
| Humana | Medicare Advantage | $2,592 |
| United Health Care | Medicare Advantage | $2,592 |
| Medica | Commercial | $4,211 |
| Ambetter | Commercial | $4,304 |
| BCBS | Commercial | $4,397 |
| Aetna | Commercial | $4,628 |
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