CT abdomen and pelvis with contrast at Pulaski Memorial Hospital. CPT 74177.
What Pulaski Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 7, 2026.
Outpatient / ER
$177cash price (self-pay)
$2,957list price
$77.05–$5,378range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Behav Hlth Mcare | Humana Behav Hlth Mcare | $80.41 |
| UHC Va Ccn | UHC Va Ccn | $80.41 |
| Mdwise Mcaid Hcc | Mdwise Mcaid Hcc | $121 |
| Mdwise Mcaid Hhw | Mdwise Mcaid Hhw | $121 |
| Caresource Mcaid Hhw | Caresource Mcaid Hhw | $220 |
| UHC Mcaid Hcc | UHC Mcaid Hcc | $220 |
| Cenpatico Mcaid Hhw - All Other Plans | Cenpatico Mcaid Hhw - All Othe | $220 |
| Mhs Mcaid Hhw/Hcc | Mhs Mcaid Hhw/Hcc | $220 |
| Anthem Mcaid Hip | Anthem Mcaid Hip | $539 |
| Anthem Mcaid Hhw/Hcc | Anthem Mcaid Hhw/Hcc | $641 |
| Mdwise Mcaid Hip - All Other Plans | Mdwise Mcaid Hip - All Other Plan | $833 |
| Cenpatico Mcaid Hip | Cenpatico Mcaid Hip | $833 |
| Mhs Exch Ambetter HMO - All Other Plans | Mhs Exch Ambetter HMO - All | $833 |
| Mhs Mcaid Hip | Mhs Mcaid Hip | $833 |
| Anthem Mcare Medselect | Anthem Mcare Medselect | $833 |
| Caresource Mcaid Hip | Caresource Mcaid Hip | $833 |
| Caresource Mcare HMO | Caresource Mcare HMO | $833 |
| UHC Mcr Adv | UHC Mcr Adv | $833 |
| Humana Choicecare Mcare | Humana Choicecare Mcare | $841 |
| Mhs Mcare Allwell | Mhs Mcare Allwell | $841 |
| Anthem HMO - All Other Plans | Anthem HMO - All Other Plans | $885 |
| Anthem PPO/Exchange | Anthem PPO/Exchange | $885 |
| Anthem Traditional | Anthem Traditional | $885 |
| Anthem Mcare HMO/PPO | Anthem Mcare HMO/PPO | $1,003 |
| Caresource Exch HMO Hix - All Other Plans | Caresource Exch HMO Hix - | $1,041 |
| Sagamore Anthem | Sagamore Anthem | $1,870 |
| Aetna Mcare - All Plans | Aetna Mcare - All Plans | $2,038 |
| Sagamore Rose Acre | Sagamore Rose Acre | $2,161 |
| Sagamore - All Other Plans | Sagamore - All Other Plans | $2,192 |
| Umr - All Plans | Umr - All Plans | $2,275 |
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