CT abdomen and pelvis with contrast at Franciscan Healthcare. CPT 74177.
What Franciscan Healthcare publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$7,290cash price (self-pay)
$7,290list price
$91.67–$6,998range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $280 |
| Humana | Medicare Advantage | $280 |
| Medica | Medicare Advantage | $280 |
| Nebraska Total Care | Medicare Products | $285 |
| Aetna | Medicare Advantage | $294 |
| Good Samaritan Insurance Plan of Nebraska | Medicare Advantage | $294 |
| Molina Healthcare of Nebraska | Medicare Advantage | $294 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $2,721 |
| United Healthcare of the Midlands | Community Plan | $2,770 |
| Nebraska Total Care | Managed Medicaid | $2,770 |
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $2,843 |
| Medica | Commercial Products | $6,634 |
| United Healthcare | All Commercial Plans | $6,998 |
| Midlands Choice | All Plans | $6,998 |
| Medica | Individual and Family Business Products-Care System Products | $6,998 |
| Aetna Coventry | HMO | $6,998 |
Inpatient
$7,290cash price (self-pay)
$7,290list price
$3,645–$6,998range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $3,645 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $6,926 |
| United Healthcare | All Commercial Plans | $6,998 |
| Midlands Choice | All Plans | $6,998 |
| Aetna Coventry | HMO | $6,998 |
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