CT abdomen and pelvis with contrast at York General Hospital. CPT 74177.
What York General Hospital publishes for this service, straight from its standard-charges file, last updated July 22, 2026.
Outpatient / ER
$5,670cash price (self-pay)
$5,670list price
$2,381–$5,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Mcr | Medica Mcr | $2,381 |
| Medicare Advantage - All Plans | Medicare Advantage - All Plans | $2,381 |
| Healthy Blue Mcaid - All Plans | Healthy Blue Mcaid - All Plans | $2,495 |
| BCBS - All Plans | BCBS - All Plans | $2,859 |
| Nebraska Total Care Mcaid- All Plans | Nebraska Total Care Mcaid- All | $3,005 |
| UHC Medicaid | UHC Medicaid | $3,005 |
| Wellcare Mcaid - All Plans | Wellcare Mcaid - All Plans | $3,005 |
| Midlands Choice Ip/Op Only - All Plans | Midlands Choice Ip/Op Only - | $5,386 |
| Mutual Of Omaha Ip/Op Only - All Plans | Mutual Of Omaha Ip/Op Only - | $5,386 |
| General Commercial - All Plans | General Commercial - All Plans | $5,386 |
| Medica Comm Ip/Op Only - All Other Plans | Medica Comm Ip/Op Only - Al | $5,386 |
| UHC Comm Ip/Op Only - All Other Plans | UHC Comm Ip/Op Only - All Othe | $5,386 |
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