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CT abdomen and pelvis with contrast at Throckmorton County Memorial Hospital. CPT 74177.

What Throckmorton County Memorial Hospital publishes for this service, straight from its standard-charges file.

Outpatient / ER

$1,882cash price (self-pay)
$1,882list price
$32.00–$1,844range insurers pay
Insurance planNegotiated rate
United Healthcare | Commercial$32.00
Blue Cross Blue Shield | HMO$1,270
Cigna | Commercial$1,317
Humana | PPO$1,317
Blue Cross Blue Shield | PPO$1,412
Amerigroup | Medicare Advantage$1,844
Blue Cross Blue Shield | Medicare Advantage HMO$1,844
Blue Cross Blue Shield | Medicare Advantage PPO$1,844
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All common services at Throckmorton County Memorial Hospital