CT abdomen and pelvis with contrast at Othello Community Hospital. CPT 74177.
What Othello Community Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$3,140cash price (self-pay)
$4,187list price
$1,780–$4,187range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup Mcaid - All Plans | Amerigroup Mcaid - All Plans | $1,780 |
| Molina Mcaid | Molina Mcaid | $1,780 |
| UHC Mcaid | UHC Mcaid | $1,780 |
| Ambetter Mcaid - All Plans | Ambetter Mcaid - All Plans | $1,780 |
| Chp Mcaid | Chp Mcaid | $1,780 |
| Cocare - All Plans | Cocare - All Plans | $1,780 |
| Gau - All Plans | Gau - All Plans | $1,780 |
| Kaiser - All Plans | Kaiser - All Plans | $1,780 |
| Ambetter - All Plans | Ambetter - All Plans | $1,800 |
| Chp - All Other Plans | Chp - All Other Plans | $1,800 |
| Molina - All Other Plans | Molina - All Other Plans | $1,800 |
| Medicare Other - All Plans | Medicare Other - All Plans | $2,093 |
| Tricare Healthnet - All Plans | Tricare Healthnet - All Plans | $2,721 |
| Triwest - All Plans | Triwest - All Plans | $2,721 |
| UHC - All Other Plans | UHC - All Other Plans | $2,721 |
| Tpsc - All Plans | Tpsc - All Plans | $3,349 |
| Asuris - All Plans | Asuris - All Plans | $3,349 |
| Commercial Other - All Plans | Commercial Other - All Plans | $3,349 |
| Hma - All Plans | Hma - All Plans | $3,349 |
| Hmso - All Plans | Hmso - All Plans | $3,349 |
| Travelers - All Plans | Travelers - All Plans | $3,349 |
| Veterans Admin - All Plans | Veterans Admin - All Plans | $3,349 |
| Blue Cross - All Plans | Blue Cross - All Plans | $3,517 |
| Cigna - All Plans | Cigna - All Plans | $3,726 |
| First Choice - All Plans | First Choice - All Plans | $3,768 |
| Aetna - All Plans | Aetna - All Plans | $3,935 |
| Chp Mcr Adv | Chp Mcr Adv | $4,187 |
| Health Alliance Mcr Adv - All Plans | Health Alliance Mcr Adv - All Pl | $4,187 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $4,187 |
| UHC Mcare HMO | UHC Mcare HMO | $4,187 |
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