CT abdomen and pelvis with contrast at Gordon Memorial Hospital District. CPT 74177.
What Gordon Memorial Hospital District publishes for this service, straight from its standard-charges file.
Outpatient / ER
$5,500cash price (self-pay)
$5,500list price
$641–$5,170range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | Commercial | $641 |
| United Healthcare | Medicare Advantage | $2,640 |
| Blue Cross Blue Shield | Commercial | $2,721 |
| Medica | Commercial | $5,170 |
| United Healthcare | Commercial | $5,170 |
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