CT abdomen and pelvis with contrast at Frio Regional Hospital. CPT 74177.
What Frio Regional Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,680cash price (self-pay)
$3,828list price
$836–$3,828range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Medicare Advantage | $836 |
| Amerigroup Texas | Medicare Advantage | $880 |
| Superior Health Plan | Commercial | $880 |
| Aetna | Commercial | $2,871 |
| Blue Cross Blue Shield of Texas | Blue Advantage | $3,292 |
| Blue Cross Blue Shield of Texas | HMO | $3,292 |
| Blue Cross Blue Shield of Texas | Traditional | $3,445 |
| United Healthcare | Commercial | $3,522 |
| ChoiceCare | Medicare Advantage | $3,828 |
| ChoiceCare | Commercial | $3,828 |
| Humana | Commercial | $3,828 |
| Humana | Medicare Advantage | $3,828 |
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