77121 — CT Angio Pelvis Wo/w Contrast
Cite this view
HANK Price Transparency. (n.d.). CT ANGIO PELVIS WO/W CONTRAST (CPT 77121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/77121?code_type=CPT
“CT ANGIO PELVIS WO/W CONTRAST (CPT 77121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/77121?code_type=CPT. Accessed .
“CT ANGIO PELVIS WO/W CONTRAST (CPT 77121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/77121?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,993–$2,281 (25th–75th percentile) across 1 hospital · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 77121 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $600.00 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $1,993.04 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $1,993.04 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $1,993.04 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $1,993.04 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $1,993.04 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $2,029.95 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $2,032.90 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $2,281.29 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $2,281.29 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $2,281.29 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $2,281.29 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $2,989.56 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $3,321.73 | $3,690.81 | $1,845.40 | 2026-05-09 | MRF ↗ |