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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in CO

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Hospitals
7
Min
$324.78
Median
$2,385.60
Max
$6,445.91
Range multiplier
19.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid138$324.78$324.78$324.781.0×
negotiated charge113$18.20$1,280.61$4,117.80226.3×
UnitedHealthcare413$324.78$324.78$5,043.0215.5×
Blue Cross Blue Shield310$324.78$345.47$3,542.0010.9×
Aetna36$324.78$1,449.53$5,932.9618.3×
tmhp [50160]16$324.78$324.78$324.781.0×
Molina25$324.78$324.78$1,444.144.4×
wellpoint amerigroup [50170]15$324.78$324.78$324.781.0×
Humana24$366.16$1,422.90$2,385.606.5×
cook childrens health plan [50177]14$324.78$324.78$324.781.0×
parkland community health plan [50190]14$324.78$324.78$324.781.0×
Anthem BCBS13$542.00$1,415.82$1,429.982.6×
texas children's health plan [50198]13$324.78$324.78$324.781.0×
community first plan [50184]13$324.78$324.78$324.781.0×
rightcare - scott & white health plan [50212]12$324.78$324.78$324.781.0×
WellCare12$1,429.98$1,429.98$1,429.981.0×
community health choice [50185]12$324.78$324.78$324.781.0×
texas health network [50189]12$324.78$324.78$324.781.0×
firstcare lubbock [50191]12$324.78$324.78$324.781.0×
dell childrens health plan [50227]12$324.78$324.78$324.781.0×
unicare health plans of texas [50173]12$324.78$324.78$324.781.0×
evercare of texas [50171]12$324.78$324.78$324.781.0×
presbyterian of nm: mcd11$284.61$284.61$284.611.0×
presbyterian of nm: mcr ppo11$366.16$366.16$366.161.0×
presbyterian of nm: php pos, administrative services only & ppo plan11$2,726.40$2,726.40$2,726.401.0×
presbyterian of nm: php salud plan11$2,556.00$2,556.00$2,556.001.0×
prime health services11$7,305.37$7,305.37$7,305.371.0×
provider network of amercia11$6,445.91$6,445.91$6,445.911.0×
quik trip11$6,445.91$6,445.91$6,445.911.0×
rocky mountain health plan: commercial ip11$2,215.20$2,215.20$2,215.201.0×
rocky mountain health plan: commercial op11$2,385.60$2,385.60$2,385.601.0×
rocky mountain health plan: mcd11$289.54$289.54$289.541.0×
rocky mountain health plan: mcr adv11$366.16$366.16$366.161.0×
southwest health alliance11$723.78$723.78$723.781.0×
texas rehabilitation comm [50038]11$165.82$165.82$165.821.0×
tmhp-pccm [50208]11$324.78$324.78$324.781.0×
umr11$5,043.02$5,043.02$5,043.021.0×
usa managed care organization11$6,445.91$6,445.91$6,445.911.0×
velocity provider ppo network11$6,445.91$6,445.91$6,445.911.0×
Workers Comp11$604.51$604.51$604.511.0×
allsavers ip11$2,556.00$2,556.00$2,556.001.0×
america's choice11$6,016.19$6,016.19$6,016.191.0×
caresoure kentucky11$4,382.30$4,382.30$4,382.301.0×
charge amount11$4,933.00$4,933.00$4,933.001.0×
child health plan+11$2,215.20$2,215.20$2,215.201.0×
Cigna11$3,186.48$3,186.48$3,186.481.0×
cofinity11$2,385.60$2,385.60$2,385.601.0×
community health choice [50192]11$324.78$324.78$324.781.0×
devon health services11$6,875.64$6,875.64$6,875.641.0×
driscoll health plan non-verified [2000000002]11$324.78$324.78$324.781.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Pam Specialty Hospital Of DenverDenverCO10$8,594.55$8,594.55$6,016.19$6,445.91$7,735.10
Rio Grande HospitalDel NorteCO26$19,712$3,942.40$165.82$324.78$1,000.00
Mt. San Rafael HospitalTrinidadCO2$3,936.00$2,755.00$1,681.00$2,437.00$3,542.00
Animas Surgical HospitalDurangoCO20$3,408.00$723.78$284.61$2,385.60$3,186.48
Pioneers Medical CenterMeekerCO2$3,946.40$18.20$1,473.47$4,933.00
East Morgan County HospitalBrushCO10$6,742.00$4,045.20$542.00$1,429.98$5,932.96
Vail Valley Medical CenterVailCO0$4,356.00$3,267.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.