CT abdomen and pelvis with contrast at AllianceHealth Durant. CPT 74177.
What AllianceHealth Durant publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,938cash price (self-pay)
$24,485list price
$254–$22,037range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna BetterHealth Medicaid OK | Aetna BetterHealth Medicaid OK | $254 |
| Centene OK Complete Health Medicaid OK | Centene OK Complete Health Me | $254 |
| Humana Healthy Horizons Medicaid OK | Humana Healthy Horizons Medicaid | $254 |
| OK Medicaid Non Par | OK Medicaid Non Par | $254 |
| OK Medicaid | OK Medicaid SoonerCare | $254 |
| Veterans Eval Services | Veterans Eval Services | $318 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $331 |
| NODE Medicare Non Par | NODE Medicare Non Par | $331 |
| NODE Medicare Traditional | NODE Medicare Traditional | $331 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $337 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $337 |
| Node Va | Node Va | $337 |
| NODE BCBS Native Blue MCR ADV | NODE BCBS Native Blue MCR ADV | $341 |
| NODE Sterling MCR ADV | NODE Sterling MCR ADV | $341 |
| NODE US Dept of Labor | NODE US Dept of Labor | $421 |
| Prime Health Work Comp OK | Prime Health Work Comp OK | $622 |
| OK Work Comp | OK Work Comp | $641 |
| BCBSOK | BCBSOK BlueChoice | $725 |
| BCBSOK | BCBSOK BlueLincs | $725 |
| BCBSOK | BCBSOK BluePreferred | $725 |
| HealthChoice | HealthChoice | $804 |
| Department of Veterans Affairs | NODE ChampVA | $3,397 |
| NODE Tricare | NODE Tricare | $3,397 |
| Self Pay | Self Pay | $3,428 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $3,599 |
| Cigna | Cigna ALL | $6,586 |
| UHC | UHC Apa | $7,125 |
| Healthcare Highways | Healthcare Highways | $8,154 |
| Customer Linx | Customer Linx | $14,691 |
| PHCS Savility | PHCS Savility | $17,140 |
Inpatient
$5,142cash price (self-pay)
$24,485list price
$3,428–$22,037range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $3,428 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $3,599 |
| Cigna | Cigna ALL | $7,468 |
| UHC | UHC Apa | $7,664 |
| Healthcare Highways | Healthcare Highways | $8,154 |
| Customer Linx | Customer Linx | $14,691 |
| PHCS Savility | PHCS Savility | $17,140 |
| Healthsmart | Healthsmart | $18,609 |
| First Health | First Health CCN | $19,588 |
| Multiplan Complementary | Multiplan Complementary | $19,588 |
| MultiPlan Primary | MultiPlan Primary | $19,588 |
| Prime Health Services | Prime Health Services | $19,588 |
| Aetna | Aetna | $20,812 |
| One Health Plan | One Health Plan | $20,812 |
| Preferred Community Choice PPO | Preferred Community Choice PPO | $20,812 |
| Comprehensive Medical Care | Comprehensive Medical Care | $22,037 |
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