CT abdomen and pelvis with contrast at Nocona General Hospital. CPT 74177.
What Nocona General Hospital publishes for this service, straight from its standard-charges file, last updated February 25, 2026.
Outpatient / ER
$27.85cash price (self-pay)
$2,387list price
$27.85–$2,900range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United_healthcare | All | $300 |
| Blue_cross | HMO | $916 |
| Blue_cross | PPO | $1,279 |
| Humana | All | $1,704 |
| Cigna | All | $1,818 |
| Phcs | All | $2,000 |
| Healthsmart | All | $2,045 |
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