CT abdomen and pelvis with contrast at Methodist Fremont Hospital. CPT 74177.
What Methodist Fremont Hospital publishes for this service, straight from its standard-charges file, last updated February 16, 2026.
Outpatient / ER
$2,683cash price (self-pay)
$7,251list price
$382–$6,961range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare Advantage | $382 |
| BCBS | BCBS Medicare Advantage | $382 |
| Humana | Humana Medicare Advantage | $382 |
| Medica | Medica Medicare Advantage | $382 |
| United Healthcare | UHC Medicare Advantage | $382 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $382 |
| Molina Medicare Advantage | Molina Medicare Advantage | $389 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $790 |
| Elite Choice | Elite Choice | $792 |
| Alliance NHN | Alliance NHN | $986 |
| BCBS | BCBS | $1,810 |
| BCBS | BCBS Select | $1,810 |
| Elevate by Medica | Elevate by Medica | $3,263 |
| NE Furniture Mart | NE Furniture Mart | $6,018 |
| United Healthcare | UHC | $6,105 |
| Medica Choice | Medica Choice | $6,381 |
| Multiplan | Multiplan | $6,526 |
| Midlands Choice | Midlands Choice | $6,816 |
| Aetna | Aetna | $6,961 |
Inpatient
$2,683cash price (self-pay)
$7,251list price
$6,018–$6,961range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NE Furniture Mart | NE Furniture Mart | $6,018 |
| BCBS | BCBS | $6,163 |
| BCBS | BCBS Select | $6,163 |
| Medica Choice | Medica Choice | $6,381 |
| Multiplan | Multiplan | $6,526 |
| United Healthcare | UHC | $6,533 |
| Midlands Choice | Midlands Choice | $6,816 |
| Aetna | Aetna | $6,961 |
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