CT abdomen and pelvis with contrast at Wyandot Memorial Hospital. CPT 74177.
What Wyandot Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2024.
Outpatient / ER
$369cash price (self-pay)
$2,092list price
$238–$3,585range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Medicare Advantage | $690 |
| Medical Mutual | Northern Ohio HMO | $1,213 |
| Aetna | HMO | $1,820 |
| Anthem | PPO & HMO | $1,820 |
| Frontpath Health Coalition | HMO | $1,820 |
| Humana | PPO | $1,820 |
| Medical Mutual | Traditional, SuperMed/HMO | $1,820 |
| OHIO HEALTH CHOICE | Commercial | $1,820 |
| UNITED HEALTHCARE | PPO, Commercial | $1,820 |
| Multiplan | PPO | $1,987 |
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