Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
TRAUMA CT ABD & PELVIS IV CONTRAST,Technical Component
Madison, WV
See all hospitals reporting CPT 74177 →Price type
Boone Memorial Hospital’s median price of $806 is 6% above the median hospital's median price ($757), higher than 52% of the 2,632 hospitals reporting CPT 74177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Humana medicare advantage other · both | $790.00 | $790.00 | $790.00 – $790.00 |
| 2 | Aetna default fee schedule · both | $806.12 | $806.12 | $806.12 – $806.12 |
| 3 | Highmark default other · both | $806.12 | $806.12 | $806.12 – $806.12 |
| 4 | Cigna default percent of total billed charges · bothfrom % of charges | $2,148 | $2,148 | $2,148 – $2,148 |
| 5 | Aetna default percent of total billed charges · bothfrom % of charges | $2,735 | $2,735 | $2,735 – $2,735 |
Last updated: Apr 7, 2026
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