Payer comparison · HCPCS 74177 · HAMPTON, IA

74177 — CT Scan Of Abdomen And Pelvis With Contrast

What each payer pays FRANKLIN GENERAL HOSPITAL (CCN 161308) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$1,828 All-payer median here

$3,896 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for 74177 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

AETNA/COVENTRY PPO - ALL OTHER PLANS	$4,113	125.0%	1
MultiPlan	$4,113	125.0%	1
Aetna	$4,026	120.2%	1
SPLASHLIGHT LLC-ALL PLANS	$3,680	101.3%	1
PREFERRED HEALTH CHOICES-ALL PLANS	$3,680	101.3%	1
Midlands Choice	$3,030	65.8%	1
Medical Associates Health Plans/Health Choices [MAHC1]	$2,706	48.0%	2
CENTIVO - ALL PLANS	$2,597	42.1%	1
MEDICAL ASS HOSP EMPLOYER GROUP	$2,597	42.1%	1
Oscar Health	$2,597	42.1%	1
Centene	$2,290	25.3%	2
Molina Healthcare	$1,819	-0.5%	2
Allwell (Centene Medicare Advantage)	$1,818	-0.5%	1
AMERICAN HEALTH PLAN OF IOWA, INC.	$1,818	-0.5%	1
Amerigroup	$1,789	-2.2%	2
UnitedHealthcare	$1,784	-2.4%	3
MOUNT CARMEL HEALTH PLAN, INC.	$1,732	-5.3%	1
TRICARE	$1,732	-5.3%	1
Wellmark BCBS	$1,146	-37.3%	3

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.