CT abdomen and pelvis with contrast at Smith County Memorial Hospital. CPT 74177.
What Smith County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$703cash price (self-pay)
$703list price
$453–$703range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Of Ks-All Plans | BCBS Of Ks-All Plans | $453 |
| Sunflower Comm Exchange-All Other Plans | Sunflower Comm Exchange-All | $492 |
| Sunflower Mcr Adv | Sunflower Mcr Adv | $492 |
| Multiplan-All Plans | Multiplan-All Plans | $632 |
| Wppa-All Plans | Wppa-All Plans | $660 |
| Health Partners Of Ks PPO-All Plans | Health Partners Of Ks PPO-All Pl | $667 |
| UHC - All Other Plans | UHC - All Other Plans | $667 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $667 |
| Sunflower Medicaid | Sunflower Medicaid | $703 |
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