CT abdomen and pelvis with contrast at Memorial Hospital at Stone County. CPT 74177.
What Memorial Hospital at Stone County publishes for this service, straight from its standard-charges file, last updated June 18, 2026.
Outpatient / ER
$7,123cash price (self-pay)
$10,175list price
$195–$8,140range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Chip | $285 |
| UHC | Mscan | $285 |
| Molina | Mscan | $293 |
| UHC | Medicare Advantage PPO | $356 |
| Magnolia Health | Medicaid | $364 |
| Blue Cross | Medicare Advantage | $371 |
| UHC | Marketplace | $373 |
| Aetna | Medicare Advantage | $374 |
| Magnolia Health | Medicare Advantage | $374 |
| Well Care | Medicare Advantage | $374 |
| Humana | Medicare Advantage | $378 |
| Cigna | Marketplace | $403 |
| Molina | Chip | $413 |
| Cigna | Open Access Plan | $545 |
| Magnolia Health | All Products | $550 |
| Aetna | All Products | $572 |
| Molina | All Products | $586 |
| First Choice | Drg | $696 |
| Sas Non-Mhg | All Products | $696 |
| Fox Everett | Hub | $715 |
| Mhg | All Products | $733 |
| Primewell | Marketplace | $879 |
| UHC | Exchange Facility | $1,466 |
| Sas Mhg | HDHP | $1,526 |
| UHC | All Products | $3,043 |
| Mpcn | All Products | $4,070 |
| Cigna | PPO | $6,105 |
| Sas Mhg | Employees | $6,207 |
| First Choice | Percentage | $7,326 |
| First Health | All Products | $7,326 |
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