CT abdomen and pelvis with contrast at Johnson Regional Medical Center. CPT 74177.
What Johnson Regional Medical Center publishes for this service, straight from its standard-charges file, last updated November 25, 2025.
Outpatient / ER
$124cash price (self-pay)
$1,375list price
$118–$2,524range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NovaSys Health | Medicaid Pass Program Products | $162 |
| APC PASSE D/B/A Summit Community Care | Medicaid HMO | $262 |
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | HMO Network | $311 |
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | PFFS | $311 |
| Humana D/B/A ChoiceCare Network | Medicare HMO,POS,PPO,PFFS | $311 |
| United Healthcare | Medicare Advantage Benefit Plan | $311 |
| NovaSys Health | Medicare Products | $320 |
| Arkansas Blue Cross Blue Shield | PPO Network | $367 |
| Arkansas First Source | PPO Network | $367 |
| Arkansas Blue Cross Blue Shield Health Advantage | HMO Network | $367 |
| United Healthcare | All Payer Appendix | $600 |
| Cigna | Benefit Plans | $630 |
Inpatient
$1,388cash price (self-pay)
$2,524list price
$206–$2,524range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NovaSys Health | Medicaid Pass Program Products | $206 |
| APC PASSE D/B/A Summit Community Care | Medicaid HMO | $206 |
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | HMO Network | $311 |
| Arkansas Blue Cross Blue Shield Medi-Pak Advantage | PFFS | $311 |
| Humana D/B/A ChoiceCare Network | Medicare HMO,POS,PPO,PFFS | $311 |
| United Healthcare | Medicare Advantage Benefit Plan | $311 |
| NovaSys Health | Medicare Products | $320 |
| Arkansas Blue Cross Blue Shield Health Advantage | HMO Network | $330 |
| Arkansas Blue Cross Blue Shield | PPO Network | $367 |
| Arkansas First Source | PPO Network | $367 |
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