CT abdomen and pelvis with contrast at Tippah County Hospital. CPT 74177.
What Tippah County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$175cash price (self-pay)
$2,124list price
$80.00–$3,412range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $622 |
| Molina | Commercial | $622 |
| United Healthcare | Commercial | $1,752 |
| Aetna | PPO | $1,805 |
| First Choice Health Plan | Commercial | $1,805 |
| Mississippi Physicians Care Network (MPCN) | Commercial | $1,805 |
| MultiPlan | PPO | $1,805 |
| QualChoice | Commercial | $1,805 |
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