CT abdomen and pelvis with contrast at UofL Health - Shelbyville Hospital. CPT 74177.
What UofL Health - Shelbyville Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,110cash price (self-pay)
$2,921list price
$320–$2,921range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Military Tricare | $320 |
| Anthem | Medicare Advantage | $335 |
| Cigna | Commercial | $335 |
| Essence Health | Medicare Advantage | $335 |
| Humana | MA Private FFS | $335 |
| Humana | PPO/HMO Medicare Advantage | $335 |
| Va Ccn | Va Ccn | $335 |
| Senior Care Communty of KY | Medicare Advantage | $337 |
| CommuniCare | Medicare Advantage | $352 |
| Devoted | Medicare Advantage | $354 |
| Passport | Moline KY Medicaid | $391 |
| Velocity | Medicare Advantage | $421 |
| Key Benefit Administrators | Commercial | $435 |
| Passport | Commercial | $458 |
| UHC | KY Medicaid | $467 |
| WellCare | KY Medicaid | $467 |
| Wellcare | Commercial | $471 |
| Anthem | Pathway PPO/HMO | $491 |
| Aetna | Better Health KY Medicaid | $492 |
| Humana | KY Medicaid | $492 |
| Anthem | PPO/HMO | $529 |
| Anthem | Traditional | $529 |
| Velocity | Group Health | $606 |
| Anthem | IN Medicaid | $632 |
| Prime Group Health | Workers Comp | $1,038 |
| UHC | Commercial | $1,393 |
| Passport | Medicare Advantage | $1,461 |
| Signature | Medicare Advantage | $1,461 |
| Encore | Commercial | $1,753 |
| MultiPlan | Commercial | $1,928 |
Inpatient
$1,110cash price (self-pay)
$2,921list price
$1,038–$2,921range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Group Health | Workers Comp | $1,038 |
| Anthem | Pathway PPO/HMO | $1,169 |
| Anthem | PPO/HMO | $1,257 |
| Anthem | Traditional | $1,257 |
| Encore | Commercial | $1,753 |
| MultiPlan | Commercial | $1,928 |
| Prime Group Health | Commercial | $2,191 |
| Velocity | Auto | $2,337 |
| Prime Group Health | Auto | $2,483 |
| MultiPlan | Workers Comp | $2,629 |
| OMCA | Commercial | $2,775 |
| Velocity | Workers Comp | $2,863 |
| CSHN | Commercial | $2,921 |
| Corvel | Commercial | $2,921 |
| Health Smart | Commercial | $2,921 |
| National Comp Care | Commercial | $2,921 |
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