CT abdomen and pelvis with contrast at 64-0682111 BMH DeSoto. CPT 74177.
What 64-0682111 BMH DeSoto publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$1,795cash price (self-pay)
$8,975list price
$311–$8,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN BCBS | Network E | $331 |
| Ar BCBS | Lppo | $334 |
| AR BCBS | Medicare | $334 |
| Devoted Health | Medicare | $334 |
| MS BCBS | Medicare | $337 |
| Aetna | Medicare | $343 |
| American Health Plan | Medicare | $343 |
| TN BCBS | Medicare | $343 |
| Tn BCBS | Dsnp | $343 |
| TN BCBS | Network L | $366 |
| AR BCBS | FirstSource PPO | $367 |
| AR BCBS | HealthAdvantage HMO | $367 |
| AR BCBS | Preferred Payment Plan | $367 |
| AR BCBS | TrueBlue Exchange PPO/TrueBlue Non-Exchange PPO | $367 |
| AR BCBS | TrueBlue Individual Metallic-Level Plan | $367 |
| TN BCBS | Network S | $406 |
| Brimhall Foods | Commercial | $491 |
| Arlington Community Schools | Commercial | $540 |
| Bartlett City Schools | Commercial | $540 |
| City of Bartlett | Commercial | $540 |
| City of Lakeland | Commercial | $540 |
| Collierville Schools | Commercial | $540 |
| EAS MSSC Schools | Commercial | $540 |
| TN BCBS | Network P | $579 |
| Armstrong Relocation | Commercial | $589 |
| Ashley Furniture Stores | Commercial | $589 |
| Building Plastic | Commercial | $589 |
| Burch Food Services | Commercial | $589 |
| Cannon Motor Company | Commercial | $589 |
| Carlisle | Commercial | $589 |
Inpatient
$1,795cash price (self-pay)
$8,975list price
$3,411–$8,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $3,411 |
| Magnolia Regional Health Center | Commercial | $3,590 |
| Littler | Commercial | $4,488 |
| Molina | Exchange | $4,488 |
| Humana | PPO | $5,026 |
| NovaSys | All | $5,206 |
| Access Health Services | Commercial | $5,385 |
| Ar BCBS | Lppo | $5,385 |
| AR BCBS | Medicare | $5,385 |
| Multiplan | Complementary Network | $6,731 |
| QCA | All | $6,731 |
| Christian Health Aid | Commercial | $7,180 |
| PPO Plus | Commercial | $7,180 |
| St. Jude Children's Hospital | Commercial | $8,078 |
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