CT abdomen and pelvis with contrast at Mary Breckinridge ARH Hospital. CPT 74177.
What Mary Breckinridge ARH Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$4,247cash price (self-pay)
$7,079list price
$542–$6,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem HMO | Commercial | $542 |
| Anthem Traditional/PPO | Commercial | $542 |
| Aetna Better Health | Medicaid | $1,062 |
| Anthem | Medicaid | $1,062 |
| Humana | Medicaid | $1,062 |
| Anthem | Medicare Advantage | $1,072 |
| Humana | Medicare | $1,072 |
| Optum CCN Region 1 | Veterans Affairs Plan | $1,072 |
| Optum CCN Region 2 | Veterans Affairs Plan | $1,072 |
| WellCare of Kentucky | Medicaid | $1,072 |
| WellCare of Kentucky | Medicare | $1,072 |
| Passport Molina | Medicaid | $1,083 |
| United Healthcare | Medicare | $1,345 |
| Aetna | Medicare | $1,487 |
| UMR | Commercial | $3,823 |
| United Healthcare HMO | Commercial | $3,823 |
| United Healthcare PPO | Commercial | $3,823 |
| CareSoure Kentucky | Commercial | $4,601 |
| Aetna POS | Commercial | $6,230 |
| Aetna PPO | Commercial | $6,230 |
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