CT abdomen and pelvis with contrast at McCamey County Hospital District. CPT 74177.
What McCamey County Hospital District publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,600cash price (self-pay)
$3,600list price
$275–$3,600range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare of Texas | Commercial | $275 |
| Blue Cross Blue Shield - Tx | Blue Advantage HMO | $2,160 |
| Wellpoint | Medicare Advantage | $2,376 |
| Superior Health Plan | Medicare Advantage | $2,542 |
| ChoiceCare | Commercial | $2,880 |
| Cigna | Commercial | $2,880 |
| Aetna | Commercial | $3,060 |
| Aetna | Medicare Advantage | $3,060 |
| Three Rivers Provider Network | Commercial | $3,060 |
| Blue Cross Blue Shield - Tx | Blue Essentials | $3,096 |
| Blue Cross Blue Shield - Tx | Commercial | $3,240 |
| FirstCare | Commercial | $3,240 |
| Galaxy Health Network | Commercial | $3,240 |
| HealthSmart Preferred Network | Commercial | $3,240 |
| Private Health Care Systems (PHCS) | Commercial | $3,240 |
| Scott and White Health Plan | Commercial | $3,240 |
| CapStar | PPO | $3,564 |
| Superior Health Plan | Commercial - Exchange | $3,564 |
| MultiPlan | Commercial | $3,600 |
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