CT abdomen and pelvis with contrast at Valley County Health System. CPT 74177.
What Valley County Health System publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$4,903cash price (self-pay)
$5,448list price
$79.93–$5,339range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $240 |
| Medica | Medicare Advantage | $240 |
| United Healthcare | Medicare Advantage | $240 |
| Humana | Medicare Advantage | $244 |
| Nebraska Total Care | Medicare Advantage/Dual Needs Plan/MMP Plan | $247 |
| WellCare | Medicare Advantage/Dual Needs Plan | $247 |
| Aetna | Medicare Advantage | $252 |
| Great Plains | Medicare Advantage | $252 |
| Medica | Individual and Family Business Plans | $461 |
| Blue Cross Blue Shield of Nebraska | Commercial | $472 |
| Medica | Commercial Plans/Care System Products | $485 |
| Nebraska Total Care | Managed Medicaid | $541 |
| United Healthcare Community Plan | Managed Medicaid | $541 |
| Molina | Managed Medicaid/CHIP | $547 |
| Molina | Dual Eligible Plan | $557 |
| Multiplan/PHCS | Primary/Complementary PPO | $774 |
Inpatient
$4,903cash price (self-pay)
$5,448list price
$4,958–$5,339range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Individual and Family Business Plans | $4,958 |
| Blue Cross Blue Shield of Nebraska | Commercial | $5,230 |
| Medica | Commercial Plans/Care System Products | $5,230 |
| Multiplan/PHCS | Primary/Complementary PPO | $5,339 |
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