CT abdomen and pelvis with contrast at Stephens County Hospital. CPT 74177.
What Stephens County Hospital publishes for this service, straight from its standard-charges file, last updated May 19, 2026.
Outpatient / ER
$393cash price (self-pay)
$2,223list price
$348–$3,412range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | Medicare | $348 |
| Medicare | Medicare | $348 |
| Amerigroup | Medicaid | $1,219 |
| Medicaid | Medicaid | $1,219 |
| Peachstate_medicaid | Medicaid | $1,219 |
| Wellcare_medicaid | Medicaid | $1,255 |
| BCBS | Commercial | $3,034 |
| Aetna | Commercial | $3,222 |
| UHC | Commercial | $3,336 |
| CIGNA | Commercial | $3,412 |
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