CT abdomen and pelvis with contrast at Southeast Georgia Health System - Brunswick Campus. CPT 74177.
What Southeast Georgia Health System - Brunswick Campus publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
—cash price (self-pay)
$1,706list price
$75.18–$1,621range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup_Community_Care | MANAGED_MEDICAID | $75.18 |
| CareSource_Georgia_Families | MANAGED_MEDICAID | $75.18 |
| PeachState_Health_Plan | MANAGED_MEDICAID | $75.18 |
| Blue_Cross_Blue_Shield_Anthem | MANAGED_MEDICARE | $300 |
| CareSource | MANAGED_MEDICARE | $300 |
| UnitedHealthcare | MANAGED_MEDICARE | $300 |
| United_Healthcare_Veterans_Administration | VA_CHAMPVA | $300 |
| Humana | MANAGED_MEDICARE | $300 |
| Aetna | MANAGED_MEDICARE | $306 |
| Clover_Health | MANAGED_MEDICARE | $306 |
| Devoted_Health | MANAGED_MEDICARE | $312 |
| PruittHealth | MANAGED_MEDICARE | $315 |
| CareSource | MARKETPLACE_COMMERCIAL | $450 |
| Ambetter | MARKETPLACE_COMMERCIAL | $480 |
| Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE | MARKETPLACE_COMMERCIA | $868 |
| Blue_Cross_Blue_Shield_Anthem_BLUE VALUE | COMMERCIAL | $1,024 |
| Blue_Cross_Blue_Shield_Anthem | PPO_OPEN_ACCESS | $1,211 |
| Blue_Cross_Blue_Shield_Anthem_FEP | COMMERCIAL | $1,211 |
| Blue_Cross_Blue_Shield_Anthem_HIGHMARK | COMMERCIAL | $1,211 |
| Sea_Island | COMMERCIAL | $1,211 |
| SGHS_Meritain | COMMERCIAL | $1,211 |
| CoventryOne_HIX | MARKETPLACE_COMMERCIAL | $1,297 |
| United_Healthcare | COMMERCIAL | $1,317 |
| Aetna | All_Commercial_Plans | $1,450 |
| MediShare | Commercial | $1,450 |
| Cigna_Healthsource | All_Commercial_Plans | $1,519 |
| Humana_Employers_Health | PPO_OPEN_ACCESS | $1,519 |
| Industry_Buying_Group_IBG | COMMERCIAL | $1,519 |
| ChoiceCare | ALL_COMMERCIAL | $1,519 |
| First_Health_Southcare | COMMERCIAL | $1,536 |
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All common services at Southeast Georgia Health System - Brunswick Campus