CT abdomen and pelvis with contrast at Slidell Memorial Hospital - Main Campus. CPT 74177.
What Slidell Memorial Hospital - Main Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$703cash price (self-pay)
$4,393list price
$285–$3,558range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnolia Health Plan�Mississippi Managed Medicaid | All Payor | $285 |
| Molina Healthcare Of Mississippi�Managed Medicaid | All Payor | $285 |
| Truecare� Mississippi Managed Medicaid | All Payor | $299 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $327 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $327 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $327 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $327 |
| Humana � Medicare Advantage | All Payor | $327 |
| Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $327 |
| Ochsner Health Plan | All Payor | $327 |
| Optum Va Ccn | All Payor | $327 |
| Peoples Health Network � Medicare Advantage | All Payor | $327 |
| Triwest Military - Tricare | All Payor | $327 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $536 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $536 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $536 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $536 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $536 |
| Healthy Blue (Healthy Louisiana) | All Payor | $542 |
| Aetna Health Inc. PPO/POS | All Payor | $557 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Payor | $589 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $589 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $589 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $603 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $724 |
| United Healthcare - Commercial Select | All Payor | $856 |
| United Healthcare - Commercial HMO PPO | All Payor | $931 |
| Cigna Healthcare | All Payor | $1,063 |
| First Health Network | All Payor | $1,757 |
| Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $1,977 |
Inpatient
$747cash price (self-pay)
$4,393list price
—range insurers pay
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All common services at Slidell Memorial Hospital - Main Campus