CT abdomen and pelvis with contrast at Ward Memorial Hospital. CPT 74177.
What Ward Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$2,758cash price (self-pay)
$5,625list price
$827–$5,569range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield - Tx | VA PCCC | $1,181 |
| FirstCare | Commercial | $1,181 |
| Medicare Advantage | Medicare Advantage | $1,181 |
| Superior HealthPlan | HMO | $1,181 |
| Superior HealthPlan | PPO | $1,181 |
| FirstCare | Medicare Advantage | $1,205 |
| Blue Cross Blue Shield - Tx | Blue Advantage | $2,250 |
| Cigna | Commercial | $3,285 |
| Blue Cross Blue Shield - Tx | HMO | $3,375 |
| Blue Cross Blue Shield - Tx | PPO | $3,937 |
| Blue Cross Blue Shield - Tx | Commercial | $3,937 |
| CoreCare | Commercial | $3,937 |
| Texas True Choice | Commercial | $4,219 |
| Unicare | Commercial | $4,500 |
| Galaxy Health Network | Commercial | $5,063 |
| MultiPlan | PPO | $5,063 |
| USA Health Network | PPO | $5,063 |
| USC Health Services | Commercial | $5,063 |
| Aetna | Commercial | $5,569 |
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