CT abdomen and pelvis with contrast at Osmond General Hospital. CPT 74177.
What Osmond General Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$6,300cash price (self-pay)
$6,300list price
$1,222–$6,048range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica-All Other Plans | Medica-All Other Plans | $1,222 |
| BCBS Comm - All Other Plans | BCBS Comm - All Other Plans | $2,668 |
| UHC Tricare | UHC Tricare | $2,835 |
| BCBS Mcr Adv | BCBS Mcr Adv | $3,150 |
| Medica Mcr | Medica Mcr | $3,150 |
| Tricare Hfns-All Plans | Tricare Hfns-All Plans | $3,150 |
| Triwest Va-All Plans | Triwest Va-All Plans | $3,150 |
| UHC Va | UHC Va | $3,150 |
| Total Care Mcaid-All Plans | Total Care Mcaid-All Plans | $3,654 |
| Wellcare Mcaid-All Plans | Wellcare Mcaid-All Plans | $3,654 |
| UHC Mcaid | UHC Mcaid | $3,654 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $5,815 |
| Coventry First Health | Coventry First Health | $5,922 |
| Coventry PPO/HMO/POS/Aso - All Other Plans | Coventry PPO/HMO/POS/Aso | $5,922 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $6,048 |
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