CT abdomen and pelvis with contrast at Arbuckle Memorial Hospital. CPT 74177.
What Arbuckle Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,267cash price (self-pay)
$2,834list price
$468–$2,834range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross and Blue Shield | Commercial | $468 |
| Medica | Commercial | $1,542 |
| Aetna | Commercial | $2,126 |
| MultiPlan | Commercial | $2,267 |
| OK Health Network | Commercial | $2,551 |
| Health Choice Network | Commercial | $2,834 |
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