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CT abdomen and pelvis with contrast at Graham Regional Medical Center. CPT 74177.

What Graham Regional Medical Center publishes for this service, straight from its standard-charges file.

Outpatient / ER

$877cash price (self-pay)
$1,039list price
$82.00–$4,190range insurers pay
Insurance planNegotiated rate
Amerigroup | Medicare Advantage$221
Amerigroup | Children's Health Insurance Program$221
ChoiceCare Network | Commercial$221
Superior HealthPlan | Commercial$221
Wellpoint | Commercial$299
Aetna | Commercial$675
Cigna | Commercial$675
Blue Cross Blue Shield | Blue Advantage$706
Blue Cross Blue Shield | Blue Essentials$738
Blue Cross Blue Shield | Commercial$779
Blue Cross Blue Shield | PPO$779
Three Rivers Provider Network | Commercial$883
Health Advantage Network | Commercial$935
HealthSmart Preferred Care | Commercial$935
United Healthcare | Commercial$1,405
Curative | Commercial$1,763
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All common services at Graham Regional Medical Center