CT abdomen and pelvis with contrast at Memorial Health Meadows Hospital. CPT 74177.
What Memorial Health Meadows Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$9,919cash price (self-pay)
$9,919list price
$421–$8,927range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State (Ambetter) | HIX | $421 |
| Health One Alliance | COMMHIX | $429 |
| Aetna | PPO | $435 |
| Aetna | QualifiedHealthPlan | $435 |
| United | AllPayerAppendix | $828 |
| Prime Health | WORKERSCOMP | $898 |
| Employer's Health Network | WCOMP | $917 |
| Amerigroup | MCD | $1,230 |
| BCBS | Hix | $1,617 |
| BCBS | Pathway | $1,617 |
| Pruitt Health | MCR | $1,885 |
| Peach State | MGMCD | $1,984 |
| Memorial Health Plan | EMPLOYEEPLAN | $2,182 |
| United | OptionsPPO | $2,450 |
| BCBS | HMO | $3,769 |
| United | GlobalBenefitPlan | $4,464 |
| BCBS | PPO | $5,128 |
| MultiPlan | Complementary | $8,927 |
| MultiPlan | Primary | $8,927 |
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