CT abdomen and pelvis with contrast at Weatherford Hospital Authority. CPT 74177.
What Weatherford Hospital Authority publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$1,520cash price (self-pay)
$1,900list price
$389–$1,900range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Bluelincs HMO | BCBS Bluelincs HMO | $389 |
| BCBS Adv PPO | BCBS Adv PPO | $389 |
| BCBS Native Blue | BCBS Native Blue | $389 |
| BCBS Pref PPO | BCBS Pref PPO | $472 |
| BCBS Choice PPO | BCBS Choice PPO | $556 |
| BCBS Trad-All Other Plans | BCBS Trad-All Other Plans | $639 |
| Va Ccn-All Plans | Va Ccn-All Plans | $684 |
| Ok Complete Hlth Comm-All Other Plans | Ok Complete Hlth Comm-All Othe | $889 |
| Medica Commercial-All Plans | Medica Commercial-All Plans | $923 |
| Cigna-All Plans | Cigna-All Plans | $1,805 |
| Aetna Better Health Mcaid-All Plans | Aetna Better Health Mcaid-All Pl | $1,900 |
| Humana Mcaid-All Plans | Humana Mcaid-All Plans | $1,900 |
| Ok Complete Hlth Mcaid | Ok Complete Hlth Mcaid | $1,900 |
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