CT abdomen and pelvis with contrast at Dardanelle Regional Medical Center. CPT 74177.
What Dardanelle Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
$908cash price (self-pay)
$3,631list price
$502–$3,631range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of AR | BCBS of AR | $502 |
| BCBS - Exchange | BCBS - Exchange | $502 |
| Self-Pay | Self-Pay | $908 |
| MEDICARE MANAGED 100Percentage | MEDICARE MANAGED 100Percentage | $908 |
| Humana Gold (Mcr) | Humana Gold (Mcr) | $917 |
| TriCare | TriCare | $923 |
| UHC Medicare Advantage | UHC Medicare Advantage | $930 |
| Aetna Medicare | Aetna Medicare | $935 |
| Ambetter | Ambetter | $1,135 |
| ALLWELL (MCR)q | ALLWELL (MCR) | $1,135 |
| Cigna | Cigna | $1,452 |
| Coresource / Luminare | Coresource / Luminare | $2,723 |
| Aetna / Coventry | Aetna / Coventry | $2,905 |
| Union Pacific Railroad | Union Pacific Railroad | $3,086 |
| Non Contracted | Non Contracted | $3,631 |
Inpatient
$3,631cash price (self-pay)
$3,631list price
$908–$3,631range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Self-Pay | $908 |
| Union Pacific Railroad | Union Pacific Railroad | $3,086 |
| Non Contracted | Non Contracted | $3,631 |
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