CT abdomen and pelvis with contrast at West Holt Memorial Hospital. CPT 74177.
What West Holt Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4,528cash price (self-pay)
$5,660list price
$424–$5,320range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $424 |
| United Healthcare | Commercial | $477 |
| DHHS | Medicaid Membership | $2,717 |
| BCBS | Commercial | $2,859 |
| Ambetter | Commercial | $2,887 |
| Molina | Commercial | $3,113 |
| United Healthcare | Midlands Choice | $3,339 |
| BCBS | Network Blue | $4,528 |
| Medica | Commercial | $5,151 |
| Aetna | Commercial | $5,320 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.