CT abdomen and pelvis with contrast at Memorial Health Umc Savannah. CPT 74177.
What Memorial Health Umc Savannah publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,959cash price (self-pay)
$5,959list price
$45.40–$5,363range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Hix | $123 |
| BCBS | Pathway | $123 |
| BCBS | Hpn | $176 |
| BCBS | HMO | $204 |
| BCBS | PPO | $219 |
| Wellcare | MCD | $304 |
| Aetna | HMO | $416 |
| Aetna | PPO | $416 |
| Aetna | QualifiedHealthPlan | $416 |
| Health One Alliance | COMMHIX | $429 |
| Blue Choice | Mgmcd | $443 |
| Peach State (Ambetter) | HIX | $514 |
| United | AllPayerAppendix | $828 |
| Prime Health | WORKERSCOMP | $898 |
| Employer's Health Network | WCOMP | $917 |
| Absolute Total Care | MCD | $1,073 |
| NHC Advantage | MGMCR | $1,132 |
| Peach State | MGMCD | $1,192 |
| United | OptionsPPO | $1,198 |
| Memorial Health Plan | EMPLOYEEPLAN | $1,311 |
| Amerigroup | MCD | $1,466 |
| United | GlobalBenefitPlan | $2,682 |
| Aetna | NAP | $3,285 |
| Cigna BH | COMM | $4,767 |
| NovaNet | COMM | $5,363 |
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