CT abdomen and pelvis with contrast at Bluffton Regional Medical Center. CPT 74177.
What Bluffton Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,243cash price (self-pay)
$9,347list price
$327–$8,412range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Tricare | NODE Tricare | $351 |
| Department of Veterans Affairs | NODE ChampVA | $369 |
| Anthem Medicaid | Anthem IN Medicaid | $632 |
| CareSource | Caresource HHW IN Medicaid | $632 |
| CareSource | Caresource IN HIP | $632 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $632 |
| IN Medicaid | IN Medicaid | $632 |
| IN Medicaid | IN Medicaid Non-Par | $632 |
| MHS | MHS HCC IN Medicaid | $632 |
| MHS | MHS HHW IN Medicaid | $632 |
| Mhs In Hip | Mhs In Hip | $632 |
| PHP | PHP Classic | $761 |
| Lutheran TRMA | Lutheran Preferred Three Rivers Plus | $2,009 |
| Lutheran Preferred Network | Lutheran Preferred Exclusive Plus | $2,115 |
| Lutheran Preferred Network | Lutheran Preferred Fixed | $2,115 |
| Lutheran Preferred Network | Lutheran Preferred Inclusive | $2,115 |
| Lutheran TRMA | Lutheran Preferred Three Rivers | $2,115 |
| Lutheran Preferred Network | Lutheran Preferred Exclusive | $2,221 |
| Amish Aid | Amish Aid | $2,243 |
| Lutheran Preferred Network | Lutheran Preferred CHS Employees | $2,795 |
| Cigna | Cigna HMO | $2,963 |
| Cigna | Cigna PPO | $3,309 |
| Aetna | Aetna NBD | $3,384 |
| Aetna PSSD J&J | Aetna PSSD JJ | $3,384 |
| Aetna US Healthcare | Aetna | $4,169 |
| Encore PPO | Encore Combined PPO | $4,571 |
| Consumer Life | Consumer Life | $5,795 |
| AHG Dana Employees | AHG Dana Employees | $6,076 |
| Lutheran Preferred Network | Lutheran Preferred Choice | $6,076 |
| Align Networks | Align Networks | $6,543 |
Inpatient
$5,141cash price (self-pay)
$9,347list price
$2,795–$8,412range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred Network | Lutheran Preferred CHS Employees | $2,795 |
| Aetna | Aetna NBD | $3,384 |
| Aetna PSSD J&J | Aetna PSSD JJ | $3,384 |
| Aetna US Healthcare | Aetna | $4,169 |
| United HealthCare | UHC APA | $4,374 |
| Sagamore SEBT | Sagamore SEBT | $4,776 |
| Sagamore Health Newtork Inc | Sagamore | $5,010 |
| Sagamore Health Newtork Inc | Sagamore Specialty Groups | $5,010 |
| Self Pay | Self Pay | $5,141 |
| Consumer Life | Consumer Life | $5,795 |
| Lutheran Preferred Network | Lutheran Preferred Inclusive | $5,795 |
| Lutheran Preferred Network | Lutheran Preferred Choice | $6,076 |
| Lutheran Preferred Network | Lutheran Preferred Exclusive | $6,076 |
| Align Networks | Align Networks | $6,543 |
| Private Healthcare Systems Inc | MultiPlan Primary | $7,010 |
| Prime Health Services | Prime Health Services | $7,010 |
| Prime Health Services | Prime Health Services Auto | $7,010 |
| Lutheran Preferred Network | Lutheran Preferred CCSI | $7,478 |
| MultiPlan | MultiPlan Complementary | $7,478 |
| Encore Health Network | Encore PPO Fully Insured | $7,665 |
| Advantage 360 | Advantage 360 | $7,758 |
| Community Health Alliance | Community Health Alliance | $7,945 |
| First Health | First Health Non-Exclusive | $8,038 |
| Allied Benefit Systems | Allied Benefit Systems | $8,412 |
| Cardinal Health Alliance | Cardinal Health Alliance | $8,412 |
| Encore Health Network | Encore PPO Self Insured | $8,412 |
| Ppom | Ppom | $8,412 |
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