CT abdomen and pelvis with contrast at Piedmont Fayette. CPT 74177.
What Piedmont Fayette publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$2,266cash price (self-pay)
$7,555list price
$405–$6,422range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $405 |
| CIGNA [10200] | Cigna | $567 |
| AMERIGROUP MEDICAID [20100] | Amerigroup | $696 |
| CARESOURCE MEDICAID [20104] | Caresource Medicaid | $731 |
| PEACH STATE MEDICAID [20101] | Peach State Medicaid | $731 |
| ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $742 |
| UHC [10700] | United Healthcare | $916 |
| UNITED HEALTHCARE EXCHANGE [11110] | United Healthcare Exchange | $916 |
| AETNA [10100] | Aetna HMO | $1,941 |
| AETNA [10100] | Aetna PPO | $1,941 |
| FIRST HEALTH [10303] | First Health | $5,288 |
| Phcs [10601] | Phcs | $5,288 |
| KAISER [10500] | Kaiser | $5,591 |
| NOVANET [10819] | Novanet | $5,666 |
| BEECHSTREET [10800] | Beechstreet | $6,044 |
| MULTIPLAN [10600] | Multiplan | $6,422 |
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