CT abdomen and pelvis with contrast at Elmore Community Hospital. CPT 74177.
What Elmore Community Hospital publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$95.14cash price (self-pay)
$1,105list price
$95.00–$750range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| VIVA Health Plan MCR Adv | Default | $95.00 |
| VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100 |
| Humana | Default | $100 |
| United Healthcare | Default | $100 |
| Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102 |
| Blue Cross Blue Shield of AL | Default | $750 |
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