CT abdomen and pelvis with contrast at Johnson Memorial Health. CPT 74177.
What Johnson Memorial Health publishes for this service, straight from its standard-charges file, last updated May 5, 2026.
Outpatient / ER
$3,394cash price (self-pay)
$4,242list price
$162–$4,115range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Medicaid | Anthem Medicaid | $162 |
| Anthem Mcr Adv | Anthem Mcr Adv | $369 |
| Humana Mcr Adv | Humana Mcr Adv | $369 |
| Aetna Mcr Adv | Aetna Mcr Adv | $369 |
| Cigna - All Plans | Cigna - All Plans | $613 |
| Anthem On Exchange | Anthem On Exchange | $1,235 |
| Anthem Plan HMO | Anthem Plan HMO | $1,372 |
| Anthem PPO/Off Exchange | Anthem PPO/Off Exchange | $1,372 |
| Anthem Trad - All Other Plans | Anthem Trad - All Other Plans | $1,372 |
| Unified Group - All Plans | Unified Group - All Plans | $2,569 |
| Encore - All Plans | Encore - All Plans | $2,927 |
| Umr - All Plans | Umr - All Plans | $2,969 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $3,105 |
| Humana - All Other Plans | Humana - All Other Plans | $3,309 |
| Aetna-All Other Plans | Aetna-All Other Plans | $3,351 |
| Siho - All Plans | Siho - All Plans | $3,818 |
| Multiplan - All Plans | Multiplan - All Plans | $4,115 |
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