CT abdomen and pelvis with contrast at Liberty Dayton Regional Medical Center. CPT 74177.
What Liberty Dayton Regional Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,236cash price (self-pay)
$1,766list price
$1,060–$1,678range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $1,060 |
| Cigna | Commercial | $1,060 |
| Humana | Commercial | $1,236 |
| TriWest | Commercial | $1,325 |
| Blue Cross and Blue Shield | HMO | $1,678 |
| Blue Cross and Blue Shield | Blue Essentials | $1,678 |
| Blue Cross and Blue Shield | PPO | $1,678 |
| UHC | Commercial | $1,678 |
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All common services at Liberty Dayton Regional Medical Center