CT abdomen and pelvis with contrast at Johnson County Hospital. CPT 74177.
What Johnson County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$5,068cash price (self-pay)
$5,068list price
$3,396–$5,068range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Medicare Advantage | $3,396 |
| Molina Healthcare of Nebraska | Commercial | $3,396 |
| United Healthcare | Commercial | $3,396 |
| VA CCN | Commercial | $3,396 |
| Wellcare | Medicare Advantage | $3,396 |
| Midland's Choice | Commercial | $4,054 |
| Ambetter | Commercial | $4,561 |
| Blue Cross and Blue Shield of Nebraska | Commercial | $4,815 |
| Aetna | Commercial | $5,068 |
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