CT abdomen and pelvis with contrast at Eastland Memorial Hospital. CPT 74177.
What Eastland Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$856cash price (self-pay)
$1,712list price
$1,061–$1,541range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicare Advantage | $1,061 |
| Blue Cross Blue Shield | Blue Essentials HMO | $1,164 |
| Blue Cross Blue Shield | PPO | $1,284 |
| Scott and Whte | Commercial | $1,541 |
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