CT abdomen and pelvis with contrast at Dimmit Regional Hospital. CPT 74177.
What Dimmit Regional Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,415cash price (self-pay)
$4,025list price
$1,530–$3,864range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $1,530 |
| Aetna | Commercial | $3,421 |
| Blue Cross Blue Shield of Texas - Blue Advantage | HMO | $3,502 |
| Blue Cross Blue Shield of Texas | Blue Essentials | $3,864 |
| Blue Cross Blue Shield of Texas | PPO | $3,864 |
| Blue Cross Blue Shield of Texas | Traditional | $3,864 |
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