CT abdomen and pelvis with contrast at Compass Memorial Healthcare. CPT 74177.
What Compass Memorial Healthcare publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
—cash price (self-pay)
$4,123list price
$30.94–$3,999range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna HMO | HMO | $30.94 |
| Wellmark Commercial | PPO | $820 |
| Wellmark Medicare Advantage | HMO | $1,608 |
| Aetna Medicare Advantage | HMO | $1,640 |
| Humana ChoiceCare Commercial | PPO | $3,092 |
| Aetna PPO | PPO | $3,628 |
| Midlands Choice Commercial | PPO | $3,999 |
Inpatient
—cash price (self-pay)
$4,123list price
$2,680–$3,917range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Commercial | PPO | $2,680 |
| Humana ChoiceCare Commercial | PPO | $3,092 |
| UHC Commercial | PPO | $3,587 |
| Midlands Choice Commercial | PPO | $3,917 |
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