CT abdomen and pelvis with contrast at Methodist Olive Branch Hospital. CPT 74177.
What Methodist Olive Branch Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$1,949cash price (self-pay)
$8,861list price
$50.00–$908range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Medicaid [350006] | Hb UHC Mschips Ob & Mlh-Tn Adult Hospitals Co | $50.00 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $150 |
| BCBS MEDICAID REPLACEMENT [350011] | HB BLUECARE TN - Olive Branch | $176 |
| Ar Medicaid Replacement [350010] | Hb Xr Ar Passe Caid/Caresource/Empo | $206 |
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $206 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Ms-Ob Contract | $285 |
| MS - MEDICAID [300025] | HB MEDICAID MS - Olive Branch | $285 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Olive | $285 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms Mscan Mlh-Ms Contract | $285 |
| MAGNOLIA MEDICAID [350020] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - Ol | $285 |
| Cigna [100009] | Hb Cigna EPO Adult Locations | $285 |
| Transplant Optum Medicare [450095] | Hb Medicare Advantage / Managed C | $327 |
| Va Ccn UHC [600003] | Hb Va - Ms Contract | $327 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $327 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $327 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $327 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $327 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $327 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Ms Contr | $327 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $327 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $327 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $327 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $327 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $327 |
| CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Ca | $432 |
| CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Ca | $475 |
| CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Br | $501 |
| UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $517 |
| CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-C | $554 |
| UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown- | $609 |
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