CT abdomen and pelvis with contrast at Gothenburg Health. CPT 74177.
What Gothenburg Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4,770cash price (self-pay)
$5,300list price
$3,253–$5,088range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Veterans Affair Community Care | $3,253 |
| Blue Cross Blue Shield | Medicare Advantage | $3,286 |
| Aetna | Medicare Advantage | $3,339 |
| Nebraska Total Care | Commercial | $4,929 |
| Blue Cross Blue Shield | Commercial | $5,035 |
| Aetna | Commercial | $5,088 |
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