CT abdomen and pelvis with contrast at Rock County Hospital. CPT 74177.
What Rock County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4,877cash price (self-pay)
$5,134list price
$711–$4,980range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $711 |
| Oscar | HMO | $711 |
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $1,844 |
| Blue Cross Blue Shield of Nebraska | PPO | $2,668 |
| Blue Cross Blue Shield of Nebraska | Commercial | $2,859 |
| Molina | Commercial | $3,234 |
| Molina | Medicare Advantage | $3,234 |
| United Healthcare | Commercial | $4,554 |
| Nebraska Total Care | Commercial | $4,621 |
| Integrated Health Plan | PPO | $4,877 |
| Interplan Health Group | Commercial | $4,877 |
| Coventry Health Care | Commercial | $4,929 |
| First Health | Commercial | $4,929 |
| Medica | Commercial | $4,929 |
| Mutually Preferred | Commercial | $4,929 |
| MultiPlan | PPO | $4,980 |
| PPO Next | PPO | $4,980 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.