CT abdomen and pelvis with contrast at AllianceHealth Madill. CPT 74177.
What AllianceHealth Madill publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,474cash price (self-pay)
$9,926list price
$254–$8,437range 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 | OK Medicaid Non Par | $254 |
| OK Medicaid | OK Medicaid SoonerCare | $254 |
| NODE US Dept of Labor | NODE US Dept of Labor | $477 |
| BCBSOK | BCBSOK BlueChoice | $637 |
| BCBSOK | BCBSOK BlueLincs | $637 |
| BCBSOK | BCBSOK BluePreferred | $637 |
| BCBSOK | BCBSOK BlueTraditional | $637 |
| OK Work Comp | OK Work Comp | $641 |
| HealthChoice | HealthChoice | $804 |
| Preferred Community Choice PPO | Preferred Community Choice PPO | $1,489 |
| UHC | UHC Apa | $1,508 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,519 |
| NODE Global Health MCR ADV | NODE Global Health MCR ADV | $2,051 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $2,051 |
| NODE Medicare Non Par | NODE Medicare Non Par | $2,051 |
| NODE Medicare Traditional | NODE Medicare Traditional | $2,051 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $2,051 |
| NODE Indian Health Service Managed Care | NODE Indian Health Service M | $2,084 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $2,084 |
| Node Va | Node Va | $2,084 |
| NODE BCBSOK Native Blue MCR ADV | NODE BCBSOK Native Blue MCR ADV | $2,113 |
| NODE ChampVA | NODE ChampVA | $2,146 |
| NODE Tricare | NODE Tricare | $2,146 |
| Self Pay | Self Pay | $3,474 |
| Coventry | Coventry | $4,963 |
| GlobalHealth | GlobalHealth | $6,154 |
| Healthcare Highways | Healthcare Highways | $6,205 |
Inpatient
$3,474cash price (self-pay)
$9,926list price
$1,489–$8,437range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Community Choice PPO | Preferred Community Choice PPO | $1,489 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,519 |
| Self Pay | Self Pay | $3,474 |
| Node Va | Node Va | $4,794 |
| Coventry | Coventry | $4,963 |
| Healthcare Highways | Healthcare Highways | $6,205 |
| Multiplan | MultiPlan Primary | $7,445 |
| Multiplan | Multiplan Complementary | $7,742 |
| Aetna | Aetna | $7,941 |
| First Health | First Health | $8,139 |
| Cigna | Cigna ALL | $8,437 |
| Evolutions Healthcare Systems | Evolutions Healthcare Systems | $8,437 |
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