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
HC CT ABD PELVIS W CONTRAST
Dodge City, KS
See all hospitals reporting CPT 74177 →Price type
Commonspirit Kansas, Inc.’s median price of $2.9k is 277% above the median hospital's median price ($757), higher than 85% 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: 8 payers, 19 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 | Aetna managed medicare fee schedule · outpatient | $193.48 | $193.48 | $193.48 – $193.48 |
| 2 | Bcbs Ks managed medicare fee schedule · outpatient | $193.48 | $193.48 | $193.48 – $193.48 |
| 3 | Cigna managed medicare fee schedule · outpatient | $193.48 | $193.48 | $193.48 – $193.48 |
| 4 | Humana managed medicare fee schedule · outpatient | $193.48 | $193.48 | $193.48 – $193.48 |
| 5 | Kaiser managed medicare fee schedule · outpatient | $193.48 | $193.48 | $193.48 – $193.48 |
| 6 | Medicare medicare fee schedule · outpatient | $193.48 | $193.48 | $193.48 – $193.48 |
| 7 | Medicare medicare other · inpatient | $357.35 | $357.35 | $357.35 – $357.35 |
| 8 | Bcbs Ks commercial ppo/hmo other · inpatient | $564.75 | $564.75 | $564.75 – $564.75 |
| 9 | Bcbs Ks managed medicare other · inpatient | $564.75 | $564.75 | $564.75 – $564.75 |
| 10 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $564.78 | $564.78 | $564.78 – $564.78 |
| 11 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $5,149 | $5,149 | $5,149 – $5,149 |
| 12 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $5,149 | $5,149 | $5,149 – $5,149 |
| 13 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $5,478 | $5,478 | $5,478 – $5,478 |
| 14 | Aetna managed medicare other · inpatient | $5,833 | $5,833 | $5,833 – $5,833 |
| 15 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $6,260 | $6,260 | $6,260 – $6,260 |
| 16 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $6,260 | $6,260 | $6,260 – $6,260 |
| 17 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $6,260 | $6,260 | $6,260 – $6,260 |
| 18 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $7,043 | $7,043 | $7,043 – $7,043 |
| 19 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $7,043 | $7,043 | $7,043 – $7,043 |
Last updated: Feb 5, 2026
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