CT abdomen and pelvis with contrast at Southern Regional Medical Center. CPT 74177.
What Southern Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$348cash price (self-pay)
$5,683list price
$331–$5,683range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Humana Tricare | $331 |
| Humana | Humana Medicare | $341 |
| Aetna | Aetna Medicare | $348 |
| AMERICAS CHOICE PROVIDER NETWORK | Americas Choice Provider Network Wo | $348 |
| BCBS GA | BCBSGA Medicare | $348 |
| Cigna | Cigna Healthspring Medicare | $348 |
| Clear Spring Health Plan | Clear Spring Health Plan | $348 |
| CORVEL | Corvel Workers Compensation | $348 |
| Georgia Workers’ Compensation | Worker Compensation | $348 |
| MULTIPLAN | Multiplan Workers Compensation | $348 |
| NOVANET | Novanet Workers Compensation | $348 |
| PRIME HEALTH SERVICES | Prime Health Services Workers Compensation | $348 |
| PROVIDER SELECT | Provider Select Workers Compensation | $348 |
| Riverwood Behavioral Health | Riverwood Behavioral Health Medicare | $348 |
| THREE RIVERS | Three Rivers Workers Compensation | $348 |
| Traditional Medicare | Traditional Medicare | $348 |
| Tricare | Tricare | $348 |
| UHC | UHC Medicare | $348 |
| UHC | UHC Va Ccn | $348 |
| Caresource | Caresource Duals | $359 |
| Caresource | Caresource Medicare | $359 |
| Devoted Health | Devoted Health | $359 |
| Peach State | Peach State Medicare | $359 |
| Sonder Health Plan | Sonder Health Plan Duals | $366 |
| Sonder Health Plan | Sonder Health Plan Medicare | $366 |
| BCBS - Adhoc | BCBS HMO Adhoc | $402 |
| BCBS - Adhoc | BCBS Pathway Adhoc | $402 |
| BCBS Ga | BCBS HMO | $402 |
| BCBS GA | BCBS Pathway | $402 |
| Peach State | Peach State Ambetter Comm | $418 |
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