CT abdomen and pelvis with contrast at Bacon County Health Services, INC.. CPT 74177.
What Bacon County Health Services, INC. publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,943cash price (self-pay)
$2,429list price
$35.09–$476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WellCare | Medicare Advantage | $35.09 |
| Amerigroup | Blue Value Medicaid | $289 |
| CareSource | Managed Medicaid | $289 |
| WellCare | Managed Medicaid | $289 |
| Peach State Health Plan | Managed Medicaid | $295 |
| Amerigroup | Individual Network HMO | $298 |
| CareSource | Medicare Advantage | $340 |
| Peach State Health Plan | Commercial Exchange Ambetter | $442 |
| CareSource | Marketplace | $476 |
Inpatient
$1,943cash price (self-pay)
$2,429list price
$1,822–$1,822range insurers pay
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