CT abdomen and pelvis with contrast at Okeene Municipal Hospital. CPT 74177.
What Okeene Municipal Hospital publishes for this service, straight from its standard-charges file, last updated August 12, 2026.
Outpatient / ER
$1,043cash price (self-pay)
$1,304list price
$196–$1,304range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pref Community Choice PPO-All Plans | Pref Community Choice PPO-All Pl | $196 |
| Coventry Health Aetna-All Other Plans | Coventry Health Aetna-All Othe | $300 |
| BCBS Blue Adv PPO | BCBS Blue Adv PPO | $469 |
| Humana-All Other Plans | Humana-All Other Plans | $500 |
| BCBS Blue Preferred PPO | BCBS Blue Preferred PPO | $570 |
| Ihs-All Plans | Ihs-All Plans | $634 |
| BCBS Blue Choice PPO | BCBS Blue Choice PPO | $670 |
| Coventry Mcr Adv | Coventry Mcr Adv | $704 |
| Global Health Mcr Adv | Global Health Mcr Adv | $704 |
| Medica Medicare | Medica Medicare | $704 |
| Triwest/Tricare BCBS | Triwest/Tricare BCBS | $704 |
| UHC Mcr Adv | UHC Mcr Adv | $704 |
| Humana Mcr Adv | Humana Mcr Adv | $704 |
| BCBS Blue Traditional-All Other Plans | BCBS Blue Traditional-All Othe | $770 |
| Cigna-All Plans | Cigna-All Plans | $798 |
| Ok Complete Health Comm-All Other Plans | Ok Complete Health Comm-All | $859 |
| Healthchoice Ip Only-All Plans | Healthchoice Ip Only-All Plans | $913 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $927 |
| Medica Commercial-All Other Plans | Medica Commercial-All Other Plans | $951 |
| Global Health-All Other Plans | Global Health-All Other Plans | $966 |
| First Health Aetna-All Plans | First Health Aetna-All Plans | $978 |
| Healthcare Highways-All Plans | Healthcare Highways-All Plans | $978 |
| Phcs Savility/Multiplan - All Plans | Phcs Savility/Multiplan - All Pl | $978 |
| Aetna-All Other Plans | Aetna-All Other Plans | $1,174 |
| Community Care HMO-All Plans | Community Care HMO-All Plans | $1,174 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $1,304 |
| Ok Complete Health Mcaid | Ok Complete Health Mcaid | $1,304 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $1,304 |
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