CT abdomen and pelvis with contrast at Cordell Memorial Hospital 0189. CPT 74177.
What Cordell Memorial Hospital 0189 publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$2,680cash price (self-pay)
$3,350list price
$412–$3,350range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Bluelincs HMO | BCBS Bluelincs HMO | $412 |
| BCBS Adv PPO | BCBS Adv PPO | $412 |
| BCBS Pref PPO | BCBS Pref PPO | $501 |
| BCBS Choice PPO | BCBS Choice PPO | $589 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $677 |
| Va Ccn - All Plans | Va Ccn - All Plans | $871 |
| Aetna Mcr Adv - All Other Plans | Aetna Mcr Adv - All Other Plans | $1,206 |
| Humana Mcr Adv | Humana Mcr Adv | $1,206 |
| UHC Mcr Adv - All Plans | UHC Mcr Adv - All Plans | $1,206 |
| Ok Complete Health Comm-All Other Plans | Ok Complete Health Comm-All | $1,568 |
| Medica Commercial-All Plans | Medica Commercial-All Plans | $1,628 |
| Cigna Ip/Op Only - All Plans | Cigna Ip/Op Only - All Plans | $2,680 |
| Humana Mcaid | Humana Mcaid | $3,350 |
| Ok Complete Health Mcaid | Ok Complete Health Mcaid | $3,350 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $3,350 |
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