CT abdomen and pelvis with contrast at Franklin County Memorial Hospital. CPT 74177.
What Franklin County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 10, 2026.
Outpatient / ER
$158cash price (self-pay)
$877list price
$71.59–$1,357range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| VA Community Care Network VACCN Region 1-3 Optum | Federal | $179 |
| Magnolia Health Plan MCD Rep | Default | $197 |
| Molina Healthcare of MS MCD Rep | Default | $197 |
| TrueCare Medicaid Mississippi | Default | $197 |
| Aetna | Default | $406 |
| Ambetter | Default | $406 |
| United Healthcare | Default | $745 |
| Blue Cross Blue Shield of MS INST | Default | $1,017 |
| Blue Cross Blue Shield of MS PROF | Default | $1,017 |
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