CT abdomen and pelvis with contrast at Kearney County Hospital. CPT 74177.
What Kearney County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,964cash price (self-pay)
$4,955list price
$2,478–$9,712range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Commercial | $2,478 |
| Medica | IFB ACO | $2,478 |
| Blue Cross Blue Shield | Medicare Advantage | $2,725 |
| Humana | Medicare Advantage | $2,725 |
| Medica | Medicare Advantage | $2,725 |
| Medica | Prime Solution Premiere | $2,725 |
| United Healthcare | Medicare Advantage | $2,725 |
| Total Care | Commercial | $2,753 |
| Total Care | Wellcare | $2,807 |
| Aetna | Advantra HMO | $2,862 |
| Great Plains | Medicare Advantage | $2,862 |
| Healthy Blue | Commercial | $2,862 |
| United Healthcare | Commercial | $4,707 |
| Multiplan | Commercial | $4,856 |
| HealthNet | Tricare | $4,955 |
| Triwest | Commercial | $4,955 |
| Molina | Commercial | $5,104 |
| Medica | ACO | $5,516 |
| Medica | Choice National | $5,892 |
| Aetna | HMO/PPO | $5,941 |
| Medica | IFB Open Access | $6,828 |
| Private HealthCare Systems and Multiplan | Commercial | $8,148 |
| Aetna | Kearney CO Health Services | $9,415 |
| Medica | Commercial (Elevate) | $9,712 |
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