CT abdomen and pelvis with contrast at Mizell Memorial Hospital. CPT 74177.
What Mizell Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$246cash price (self-pay)
$274list price
$59.67–$673range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Alabama | Default | $59.67 |
| Aetna | Medicare Advantage | $77.69 |
| Blue Cross Blue Shield of AL | Medicare Advantage | $77.69 |
| UnitedHealthcare of Alabama | Medicare Advantage | $77.69 |
| Aetna | Default | $274 |
| Blue Cross Blue Shield of AL | Default | $274 |
| Humana | Medicare Advantage | $314 |
| Medicare A AL JJ | Default | $314 |
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