CT abdomen and pelvis with contrast at Dundy County Hospital. CPT 74177.
What Dundy County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4,762cash price (self-pay)
$5,291list price
$2,646–$7,728range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Commercial | $2,646 |
| United Healthcare | Commercial | $2,646 |
| Medica | Commercial | $3,013 |
| UHC Community Plan | Managed Medicaid | $3,368 |
| BCBS | Medicare Advantage | $3,545 |
| United Healthcare | Medicare Advantage | $3,545 |
| Total Care | Managed Medicaid | $3,580 |
| Wellcare | Medicare Advantage | $3,616 |
| Midlands Choice | Commercial | $3,968 |
| MultiPlan | PPO | $5,185 |
| MultiPlan | PHCS - PPO | $5,185 |
| BCBS | Commercial | $5,291 |
| Aetna | PPO | $7,728 |
| Aetna | HMO | $7,728 |
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