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CT abdomen and pelvis with contrast at Bolivar Medical Center. CPT 74177.

What Bolivar Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$315–$699range insurers pay
Insurance planNegotiated rate
Humana | Medicare Managed Care Plan$315
Centene | Medicare Managed Care Plan$393
BCBS | AHS State Employees Other Commercial Plan$564
BCBS | All Commercial Plans$699
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All common services at Bolivar Medical Center