CT abdomen and pelvis with contrast at Guadalupe County Hospital. CPT 74177.
What Guadalupe County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$566cash price (self-pay)
$1,819list price
$83.00–$1,107,162range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana ChoiceCare | Medicare Advantage | $228 |
| Molina | Medicare Advantage | $228 |
| Provider Network of America | Commercial | $228 |
| United Healthcare | Medicare Advantage | $228 |
| MultiPlan | Commercial | $1,619 |
| Blue Cross Blue Shield | Commercial | $1,637 |
| Cigna | Commercial | $1,637 |
| Humana ChoiceCare | Commercial | $1,637 |
| Integra Health plan | Commercial | $1,637 |
| Molina | Health Benefit Exchange | $58,046 |
| Presbyterian Health Plan | Commercial | $687,393 |
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