CT abdomen and pelvis with contrast at Chicot Memorial Medical Center. CPT 74177.
What Chicot Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,500cash price (self-pay)
$1,500list price
$206–$750range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Arkansas | Default | $206 |
| Medicare B AR JH | Default | $259 |
| Blue Cross Blue Shield of AR | Default | $367 |
| Humana | Medicare Advantage | $588 |
| Medicare A AR J7 | Default | $588 |
| Primewell Vantage Health Plan | Medicare Advantage | $588 |
| Aetna | Medicare Advantage | $600 |
| United Healthcare | Medicare Advantage | $645 |
| Aetna | Default | $660 |
| Ambetter | Default | $750 |
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