CT abdomen and pelvis with contrast at Thayer County Health Services. CPT 74177.
What Thayer County Health Services publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,958cash price (self-pay)
$4,947list price
$2,919–$7,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Commercial | $2,919 |
| United Healthcare | Medicare Advantage | $2,919 |
| Blue Cross Blue Shield | Blueprint Health | $4,700 |
| Blue Cross Blue Shield | Commercial | $4,749 |
| Blue Cross Blue Shield | BlueChoice | $4,799 |
| Midlands Choice | Commercial | $4,898 |
| Blue Cross Blue Shield | Medicare Advantage | $4,947 |
| Midlands Choice | Medica Health Plans | $5,254 |
| Medica | PPO | $7,200 |
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