CT abdomen and pelvis with contrast at Pawhuska Hospital. CPT 74177.
What Pawhuska Hospital publishes for this service, straight from its standard-charges file, last updated September 26, 2026.
Outpatient / ER
$2,227cash price (self-pay)
$5,394list price
$859–$6,811range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthchoice Ip/Op Only - All Plans | Healthchoice Ip/Op Only - All Pl | $859 |
| Community Care Comm - All Plans | Community Care Comm - All Plans | $891 |
| BCBS Select Mcr Adv | BCBS Select Mcr Adv | $2,718 |
| BCBS Mcr Adv | BCBS Mcr Adv | $3,021 |
| Tricare - All Plans | Tricare - All Plans | $3,021 |
| UHC Mcr Adv | UHC Mcr Adv | $3,021 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $3,021 |
| Aetna Mcr Adv | Aetna Mcr Adv | $3,021 |
| UHC Va Ccn | UHC Va Ccn | $3,021 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $3,051 |
| Healthcare Highways - All Plans | Healthcare Highways - All Plans | $3,506 |
| Cigna - All Plans | Cigna - All Plans | $3,668 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $3,884 |
| Multiplan - All Plans | Multiplan - All Plans | $4,045 |
| Ambetter - All Plans | Ambetter - All Plans | $4,531 |
| BCBS Blue Pref | BCBS Blue Pref | $4,585 |
| Aetna - All Other Plans | Aetna - All Other Plans | $4,585 |
| BCBS Blue Adv | BCBS Blue Adv | $4,585 |
| BCBS Blue Choice | BCBS Blue Choice | $4,585 |
| BCBS Blue Trad - All Other Plans | BCBS Blue Trad - All Other Plans | $4,585 |
| BCBS Bluelincs/Native/Myblue/Keyblue | BCBS Bluelincs/Native/Myblue/Ke | $4,585 |
| Preferred Commchoice Ip/Op Only - All Plans | Preferred Commchoice Ip/ | $4,854 |
| First Health (Aetna) | First Health (Aetna) | $4,854 |
| Humana Mcaid | Humana Mcaid | $5,394 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $5,394 |
| Soonerselect Mcaid - All Plans | Soonerselect Mcaid - All Plans | $5,394 |
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