CT abdomen and pelvis with contrast at McBride Orthopedic Hospital. CPT 74177.
What McBride Orthopedic Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,107cash price (self-pay)
$1,107list price
$313–$501range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | BlueLincs HMO | $313 |
| BCBS | Blue Preferred PPO | $313 |
| BCBS | Blue Choice PPO | $313 |
| BCBS | Blue Advantage PPO | $313 |
| United Healthcare | Commercial | $313 |
| Aetna | Commercial | $444 |
| Humana | Commercial | $501 |
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