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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in NE

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Hospitals
4
Min
$380.38
Median
$2,871
Max
$5,039
Range multiplier
13.2×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica315$79.93$427.31$6,663.1583.4×
Cigna211$212.17$711.03$7,055.133.3×
Aetna210$79.93$371.92$7,290.2791.2×
UnitedHealthcare38$111.64$563.49$4,43939.8×
Blue Cross Blue Shield48$153.15$2,821.55$6,271.240.9×
winhealth15$151.87$531.34$6,663.1543.9×
Humana25$79.93$279.65$362.274.5×
rci insurance group15$212.17$711.03$6,584.7631.0×
WellCare25$83.93$293.63$2,87134.2×
medica cost14$83.93$251.67$380.384.5×
naphcare14$119.9$359.53$543.44.5×
Ambetter14$147.73$451.02$543.43.7×
Centene13$301.29$358.48$830.282.8×
midlands choice23$2,539.68$3,663$5,6992.2×
nebraska total care22$2,871$3,217$3,5631.2×
one world12$1,004.5$1,079.84$1,155.181.2×
phcs12$3,467.64$3,565.32$3,6631.1×
greater omaha packing12$1,004.5$1,079.84$1,155.181.2×
quiktrip12$2,930.4$2,930.4$2,930.41.0×
amerigroup12$301.29$333.37$365.441.2×
millard public schools12$1,004.5$1,079.84$1,155.181.2×
Multiplan12$4,151.4$4,151.4$4,151.41.0×
elap11$1,611.72$1,611.72$1,611.721.0×
iamolina11$307.2$307.2$307.21.0×
amps11$744.81$744.81$744.811.0×
pace11$348.04$348.04$348.041.0×
timpte11$1,155.18$1,155.18$1,155.181.0×
todays options11$355$355$3551.0×
creighton university employees11$581.32$581.32$581.321.0×
great plains11$365.44$365.44$365.441.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH-CREIGHTON UNIV MED CENTEROMAHANE21$4,884$2,051.28$301.29$830.28$4,151.4
REGIONAL WEST GARDEN COUNTY HOSPITALOSHKOSHNE6$5,999$4,079$3,563$5,039$5,759
REGIONAL WEST MEDICAL CENTERSCOTTSBLUFFNE12$7,839$4,703.4$79.93$380.38$7,290.27
GENOA COMMUNITY HOSPITALGENOANE4$4,866$4,379$2,871$2,871$5,397

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.