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
CT ABD & PELVIS W/CONTRAST
Ord, NE
See all hospitals reporting CPT 74177 →Price type
Valley County Hospital’s median price of $339 is 55% below the median hospital's median price ($757), higher than 9% 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, 30 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 | Bcbs Ne medicare advantage professional · fee schedule · both | $199.72 | $186.43 | $79.93 – $279.65 |
| 2 | Medica medicare advantage professional · fee schedule · both | $199.72 | $186.43 | $79.93 – $279.65 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $199.72 | $186.43 | $79.93 – $279.65 |
| 4 | Humana medicare advantage professional · fee schedule · both | $203.71 | $190.16 | $81.53 – $285.24 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $205.71 | $192.03 | $82.33 – $288.04 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $209.71 | $195.76 | $83.93 – $293.63 |
| 7 | UnitedHealthcare managed medicaid professional · fee schedule · both | $341.24 | $341.24 | $141.15 – $541.33 |
| 8 | Molina managed medicaid/chip professional · fee schedule · both | $344.59 | $344.59 | $142.53 – $546.64 |
| 9 | Molina dual eligible plan professional · fee schedule · both | $351.28 | $351.28 | $145.30 – $557.26 |
| 10 | Medica individual and family business plans professional · fee schedule · both | $383.86 | $358.33 | $153.63 – $537.49 |
| 11 | Bcbs Ne commercial professional · case rate · both | $393.31 | $367.14 | $157.41 – $550.71 |
| 12 | Medica commercial plans/care system products professional · fee schedule · both | $404.27 | $377.38 | $161.79 – $566.07 |
| 13 | MultiPlan primary/complementary ppo professional · fee schedule · both | $645.10 | $602.18 | $258.17 – $903.27 |
| 14 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,090 | $1,090 | $1,090 – $1,090 |
| 15 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,090 | $1,090 | $1,090 – $1,090 |
| 16 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,090 | $1,090 | $1,090 – $1,090 |
| 17 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,111 | $1,111 | $1,111 – $1,111 |
| 18 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2,615 | $2,615 | $2,615 – $2,615 |
| 19 | Bcbs Ne commercial facility · fee schedule · outpatient | $2,789 | $2,789 | $2,789 – $2,789 |
| 20 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $2,806 | $2,806 | $2,806 – $2,806 |
| 21 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $2,860 | $2,860 | $2,860 – $2,860 |
| 22 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $2,974 | $2,974 | $2,974 – $2,974 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $4,958 | $4,958 | $4,958 – $4,958 |
| 24 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $4,958 | $4,958 | $4,958 – $4,958 |
| 25 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5,230 | $5,230 | $5,230 – $5,230 |
Last updated: Jun 15, 2026
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