CT abdomen and pelvis with contrast at Decatur County Memorial Hospital. CPT 74177.
What Decatur County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$311cash price (self-pay)
$3,115list price
$30.00–$3,022range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Medicaid | Anthem Medicaid | $220 |
| Caresource Medicaid | Caresource Medicaid | $220 |
| Choice Care Mcr Adv | Choice Care Mcr Adv | $492 |
| Siho Mcr Adv | Siho Mcr Adv | $507 |
| Anthem Healthy In Mcr | Anthem Healthy In Mcr | $507 |
| UHC Mcr Adv | UHC Mcr Adv | $507 |
| Caresource Mcr Adv | Caresource Mcr Adv | $531 |
| Aetna Mcr Advantage | Aetna Mcr Advantage | $570 |
| Cigna-All Other Plans | Cigna-All Other Plans | $650 |
| UHC-All Other Plans | UHC-All Other Plans | $714 |
| Encircle-All Plans | Encircle-All Plans | $739 |
| Caresource Just4me-All Other Plans | Caresource Just4me-All Other Plan | $814 |
| Anthem Mcr Adv | Anthem Mcr Adv | $903 |
| Aetna-All Other Plans | Aetna-All Other Plans | $1,229 |
| Anthem HMO | Anthem HMO | $1,380 |
| Sagamore Health-All Plans | Sagamore Health-All Plans | $1,412 |
| Anthem PPO | Anthem PPO | $1,451 |
| Choicecare Commercial-All Other Plans | Choicecare Commercial-All Othe | $1,489 |
| Thcg/Encore-All Plans | Thcg/Encore-All Plans | $1,504 |
| Healthsource Indiana-All Plans | Healthsource Indiana-All Plans | $1,588 |
| Anthem Trad-All Other Plans | Anthem Trad-All Other Plans | $1,592 |
| Siho-All Other Plans | Siho-All Other Plans | $1,656 |
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