CT abdomen and pelvis with contrast at Knox County Hospital District. CPT 74177.
What Knox County Hospital District publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,545cash price (self-pay)
$1,545list price
$834–$1,313range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Texas | Blue Advantage HMO | $834 |
| Humana | Commercial | $942 |
| MultiPlan | Commercial | $942 |
| Superior Health Plan | Commercial | $942 |
| WellMed | Commercial | $942 |
| Blue Cross Blue Shield of Texas | Blue Essentials | $1,051 |
| Blue Cross Blue Shield of Texas | PPO | $1,051 |
| Aetna | Commercial | $1,236 |
| FirstCare | Commercial | $1,313 |
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