CT abdomen and pelvis with contrast at Carle Richland Memorial Hospital. CPT 74177.
What Carle Richland Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$9,030cash price (self-pay)
$9,030list price
$600–$7,676range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | PPO | $600 |
| Meridian | Medicare-Medicaid (D-SNP) | $1,896 |
| Molina | Medicare-Medicaid (D-SNP) | $1,896 |
| United Healthcare (UHC) | Medicare Advantage | $1,896 |
| Aetna | Medicare Advantage PPO | $1,896 |
| Aetna | Medicare Advantage HMO | $1,896 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $1,896 |
| Blue Cross Blue Shield | Medicare Advantage | $1,896 |
| Wellcare | Medicare Advantage HMO | $1,896 |
| Humana | Medicare-Medicaid (D-SNP) | $1,896 |
| Humana | Medicare Advantage | $1,896 |
| Molina | Managed Medicaid | $2,709 |
| Aetna | Commercial HMO | $4,334 |
| HealthLink | HMO | $5,870 |
| Blue Cross Blue Shield | PPO | $6,321 |
| HealthLink | PPO | $6,321 |
| Aetna | Commercial | $6,321 |
| United Healthcare (UHC) | PPO | $6,899 |
| Aetna First Health PPO | PPO | $7,531 |
| Multiplan/PHCS | PPO | $7,676 |
Inpatient
$9,030cash price (self-pay)
$9,030list price
$2,709–$7,856range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Managed Medicaid | $2,709 |
| Aetna | Commercial HMO | $4,334 |
| United Healthcare (UHC) | PPO | $6,899 |
| Aetna First Health PPO | PPO | $7,531 |
| Multiplan/PHCS | PPO | $7,856 |
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