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CT abdomen and pelvis with contrast at Delta Memorial Hospital. CPT 74177.

What Delta Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$737cash price (self-pay)
$921list price
$206–$875range insurers pay
Insurance planNegotiated rate
Summit Administration Services, Inc | Default$206
Wellcare Health Plan Inc MCR Adv | Default$325
Humana Advantage Care Plans Med Advantage | All Plans$328
United Healthcare | Medicare Advantage$332
Blue Cross Blue Shield of AR | Default$367
Blue Cross Blue Shield of AR | PPO$367
United Healthcare | Default$875
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All common services at Delta Memorial Hospital