CT abdomen and pelvis with contrast at Grandview Medical Center. CPT 74177.
What Grandview Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,809cash price (self-pay)
$34,941list price
$212–$31,447range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Encompass Health | NODE Encompass Health | $212 |
| Alabama Medicaid | AL Medicaid | $242 |
| AL Medicaid Non-Citizen | AL Medicaid Non-Citizen | $242 |
| Medicaid Non-Par | AL Medicaid Non-Par | $242 |
| Veterans Eval Services | Veterans Eval Services | $310 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $323 |
| Healthspring | Healthspring Commercial | $558 |
| Cigna | Cigna ALL | $573 |
| ChoiceCare | ChoiceCare PPO | $650 |
| United Healthcare | UHC APA | $764 |
| UHC Iex | UHC Iex | $764 |
| Alamed | Alamed Work Comp AL | $1,248 |
| First Health | First Health | $3,500 |
| NODE Tricare | NODE Tricare | $3,689 |
| NODE ChampVA | NODE ChampVA | $3,883 |
| Self Pay | Self Pay | $5,241 |
| BP Health Advocate | BP Health Advocate | $8,735 |
| Aetna | Aetna ALL | $9,714 |
| VIVA Health | VIVA New | $10,482 |
| AG Administrators | AG Administrators | $12,229 |
| Drummond | Drummond Work Comp AL | $12,229 |
| American Employee Alliance | American Employee Alliance | $13,976 |
| Optum Health | Optum Health | $15,723 |
| HealthChoice | Healthchoice Non Standard 1 | $17,471 |
| Value Options | Value Options Non HMO | $17,471 |
| HealthChoice | Healthchoice Non Standard 2 | $19,218 |
| VIVA Health | VIVA Existing | $19,218 |
| HealthChoice | HealthChoice Standard | $20,965 |
| Multiplan | Multiplan Primary | $21,663 |
| Blue Bell Creameries | Blue Bell Creameries | $24,459 |
Inpatient
$7,695cash price (self-pay)
$34,941list price
$7,695–$31,447range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $8,386 |
| Drummond | Drummond Work Comp AL | $12,229 |
| American Employee Alliance | American Employee Alliance | $13,976 |
| Value Options | Value Options Non HMO | $17,471 |
| HealthChoice | HealthChoice Standard | $20,965 |
| Multiplan | Multiplan Primary | $21,314 |
| Blue Bell Creameries | Blue Bell Creameries | $24,459 |
| Multiplan | Multiplan Complementary | $24,459 |
| Usa PPO | Usa PPO | $26,206 |
| Cal-Med | Cal Med | $29,700 |
| Associated Admin | Associated Admin | $31,447 |
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