CT abdomen and pelvis with contrast at Glenwood Regional Medical Center. CPT 74177.
What Glenwood Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$317cash price (self-pay)
$4,079list price
$214–$4,079range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MedSolutions | MedSolutions | $214 |
| Humana Medicare Advantage | Humana Medicare Advantage | $306 |
| Medicare | Medicare | $317 |
| United Healthcare Medicare Adv | United Healthcare Medicare Adv | $317 |
| Tricare | Tricare | $329 |
| Medicare Plus 110 | Medicare Plus 110 | $349 |
| United Healthcare Medicaid | United Healthcare Medicaid | $369 |
| United Healthcare Exchange | United Healthcare Exchange | $403 |
| Insyss | Insyss | $540 |
| BCBS of LA Commercial | BCBS of LA Commercial | $626 |
| United Healthcare Commercial | United Healthcare Commercial | $828 |
| Vantage Commercial (All Other) and HIX | Vantage Commercial (All Other | $932 |
| Cigna Commercial | Cigna Commercial | $1,319 |
| Humana Commercial | Humana Commercial | $1,771 |
| PPO Plus Over 200 | PPO Plus Over 200 | $2,125 |
| Verity Healthnet Commercial and HIX | Verity Healthnet Commercial and | $2,325 |
| Aetna Commercial | Aetna Commercial | $2,651 |
| PPO Plus All Other | PPO Plus All Other | $2,855 |
| Three Rivers Provider Network | Three Rivers Provider Network | $3,467 |
| Verity Healthnet National | Verity Healthnet National | $3,467 |
| MHNet | MHNet | $4,079 |
| United Behavioral Health | United Behavioral Health | $4,079 |
Inpatient
—cash price (self-pay)
$4,079list price
$2,125–$4,079range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Plus Over 200 | PPO Plus Over 200 | $2,125 |
| United Behavioral Health | United Behavioral Health | $2,447 |
| PPO Plus All Other | PPO Plus All Other | $2,855 |
| Three Rivers Provider Network | Three Rivers Provider Network | $3,467 |
| Verity Healthnet National | Verity Healthnet National | $3,467 |
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