CT abdomen and pelvis with contrast at Blue Ridge Medical Center. CPT 74177.
What Blue Ridge Medical Center publishes for this service, straight from its standard-charges file, last updated April 17, 2026.
Outpatient / ER
$971cash price (self-pay)
$3,378list price
$193–$6,756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid HMO | Tncare Select | $193 |
| Medicaid HMO | Wellcare | $466 |
| Medicaid HMO | Americhoice John Deere | $466 |
| Medicaid HMO | UHC Community Plan | $466 |
| Medicaid HMO | Wellcare Of FL | $466 |
| Medicaid Ffs | Medicaid D | $466 |
| Medicaid Ffs | Cah Medicaid Ga | $466 |
| Medicaid HMO | Peach State Health Mcaid | $466 |
| Medicaid HMO | Cah Peach State Hlth Mcd | $466 |
| Medicaid HMO | Cah UHC Community Plan | $466 |
| Medicaid HMO | Ambetter Mcaid | $466 |
| Medicaid HMO | Dnu Cah Ambetter Mcaid | $466 |
| Misc Medicaid Mco | Misc Medicaid Mco | $466 |
| Medicaid Ffs | Medicaid Ga Ip Downgrade | $466 |
| Medicaid Ffs | Ip Downgrade Ga Mcd | $466 |
| Medicaid HMO | Amerigroup Of Ga | $479 |
| Medicaid HMO | Caresource | $479 |
| Medicaid HMO | Cah Amerigroup Ga Mcd | $521 |
| Medicare | Medicare | $676 |
| Misc Medicare Advantage | Misc Medicare Advantage | $676 |
| Champus | Cah Va Ccn Optum | $676 |
| Commercial HMO PPO | Aetna Senior Supplemental | $676 |
| Medicare HMO | Aetna Medicare Advantage | $676 |
| Medicare HMO | Cah Aetna Mcr Adv | $676 |
| Medicaid HMO | Bluecare Tncare | $906 |
| Medicaid HMO | Cah Bluecare Tncare | $906 |
| Blue Cross | Blue Cross Fed | $955 |
| Blue Cross Oos | Blue Cross Fed Employee | $955 |
| Commercial HMO PPO | Alliant Health Plans Inc | $971 |
| Blue Cross | Blue Cross HMO POS | $1,040 |
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