CT abdomen and pelvis with contrast at USA Health University Hospital. CPT 74177.
What USA Health University Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2026.
Outpatient / ER
$268cash price (self-pay)
$2,169list price
$134–$5,594range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnolia Health | Managed Medicaid | $285 |
| United Healthcare of Mississippi | Managed Medicaid | $285 |
| TrueCare | Managed Medicaid | $285 |
| Blue Cross Blue Shield of Alabama | Medicare Advantage | $294 |
| Aetna | Medicare Advantage | $300 |
| Cigna Healthspring | Medicare Advantage | $300 |
| Humana | Medicare Advantage/PPO | $300 |
| Humana | Medicare Advantage/HMO | $300 |
| VIVA Health | Medicare Advantage | $300 |
| WellCare | Medicare Advantage | $300 |
| Devoted Health | Medicare Advantage | $300 |
| United Healthcare | VACCN | $300 |
| United Healthcare | Medicare Advantage | $300 |
| Molina CHIP | Managed Medicaid | $313 |
| Molina Marketplace | Medicare Advantage | $330 |
| Ambetter | Commercial/Exchange | $360 |
| Mississippi Physicians Care Network (MPCN) | Commercial | $405 |
| Cigna Healthcare | Commercial | $450 |
| United Healthcare | All Payor/Commercial | $477 |
| Aetna | Commercial | $500 |
| United Healthcare | PPO/Commercial | $525 |
| Central Healthcare Services | Commercial | $1,085 |
| VIVA Health | Commercial | $1,085 |
| Humana ChoiceCare | Commercial | $1,410 |
| MultiPlan | Commercial | $1,410 |
| NaphCare | Commercial | $1,518 |
| NovaNet | Commercial | $1,952 |
Inpatient
$2,169cash price (self-pay)
$2,169list price
$1,085–$5,594range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Central Healthcare Services | Commercial | $1,085 |
| Devoted Health | Medicare Advantage | $1,518 |
| MultiPlan | Commercial | $1,952 |
| NovaNet | Commercial | $1,952 |
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