CT abdomen and pelvis with contrast at Pemiscot Memorial Health Systems. CPT 74177.
What Pemiscot Memorial Health Systems publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$1,316cash price (self-pay)
$1,880list price
$187–$1,410range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Uhc_plan | Commercial | $300 |
| Healthplan_medicaid_plan | Medicaid | $313 |
| Medicaid_plan | Medicaid | $313 |
| Uhc_medicaid_plan | Medicaid | $313 |
| Healthyblue_medicaid_plan | Medicaid | $319 |
| Home_state_healthplan_medicaid_plan | Medicaid | $319 |
| Home_state_health_plan_plan | Medicare | $349 |
| Medicare_plan | Medicare | $349 |
| Uhc_medicare_plan | Medicare | $349 |
| Healthscope_plan | Medicare | $472 |
| Cigna_plan | Commercial | $650 |
| Consociate_plan | Medicare | $699 |
| Anthem_bcbs_other_plan | Commercial | $1,278 |
| Anthem_traditional_plan | Commercial | $1,278 |
| Healthlink_hmo_plan | Commercial | $1,316 |
| First_health_plan | Commercial | $1,410 |
| Healthlink_ppo_plan | Commercial | $1,410 |
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