CT abdomen and pelvis with contrast at Wellstar West Georgia Medical Center. CPT 74177.
What Wellstar West Georgia Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$205cash price (self-pay)
$7,020list price
$343–$1,336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $343 |
| Bcbs | Medicare Managed Care Plan | $350 |
| Cigna | Medicare Managed Care Plan | $360 |
| Clover | Medicare Managed Care Plan | $367 |
| Cigna | Ppo | $506 |
| Cigna | Hmo | $506 |
| Aetna | Hmo/Pos/Ppo | $549 |
| Oscar Healthplan | Exchange | $584 |
| Ambetter | Select Medicare Managed Care Plan | $604 |
| Peachstate | Ambetter Exchange | $635 |
| Caresource | Exchange | $673 |
| Bcbs | Shbp Other Commercial Plan | $1,054 |
| Bcbs | Hmo/Pos | $1,336 |
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