CT abdomen and pelvis with contrast at Hansford County Hospital District. CPT 74177.
What Hansford County Hospital District publishes for this service, straight from its standard-charges file.
Outpatient / ER
$866cash price (self-pay)
$1,155list price
$809–$1,213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross and Blue Shield | Medicare Advantage HMO | $809 |
| Blue Cross and Blue Shield | Blue Advantage HMO | $832 |
| Blue Cross and Blue Shield | HMO | $878 |
| Blue Cross and Blue Shield | Commercial | $924 |
| Cigna | Commercial | $1,040 |
| HealthSmart | Commercial | $1,040 |
| Alliance Regional | Commercial | $1,097 |
| Blue Cross and Blue Shield | Medicare Advantage PPO | $1,155 |
| Blue Cross and Blue Shield | Blue HMO | $1,155 |
| 90 Degrees | Commercial | $1,213 |
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