CT abdomen and pelvis with contrast at UMMC Holmes County Hospital. CPT 74177.
What UMMC Holmes County Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$957cash price (self-pay)
$2,393list price
$280–$2,393range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ms-Can-Molina-Lex | Mscan Molina | $280 |
| Ms-Can-Magnolia-Lex | Mscan Magnolia (Centene) | $283 |
| Ms-Can-Truecare-Lex | Mscan Truecare | $286 |
| Molina-Chip-Lex | Molina Childrens Health Insurance Plan | $599 |
| Magnolia-Chip-Lex | Magnolia Childrens Health Insurance (Chip) | $612 |
| Truecare-Chip-Lex | Truecare Chip | $612 |
| United-Lex | United Healthcare- Non Options | $899 |
| Advhealth-Lex | State Of Ms Blue Cross | $917 |
| United-Options-Lex | United Healthcare- Options Plan | $1,045 |
| Cigna-Lex | Cigna Commercial | $1,093 |
| Bcbsmiss-Lex | Blue Cross Of Ms | $1,343 |
| Tricare-Lex | Tricare | $1,468 |
| Medicare_humana-Lex | Humana Medicare Advantage | $1,493 |
| Mpcn-Lex | Ms Physician Care Network | $1,555 |
| Medadv_uhc-Lex | United Healthcare Medicare Adv | $1,627 |
| Firstchoice-Lex | First Choice High Performance Network | $1,675 |
| Ambetter-Lex | Insurance Exchange By Magnolia | $1,795 |
| Medadv_primewell-Lex | Primewell Medicare Advantage | $1,795 |
| Medicare-Lex | Medicare- Lexington | $1,795 |
| Primewell-Lex | Primewell Commercial/Ppaca | $1,795 |
| Va_ccn-Lex | Veterans Affairs Community Care Network | $1,795 |
| Medadv_uhcdsnp-Lex | United Medicare Adv Dual Special Needs (Dsnp) | $1,849 |
| Wellcare-Lex | Wellcare Medicare Advantage | $1,849 |
| Ppoplus | Ppoplus (Zelis Network Solutions) | $1,867 |
| Devoted_health-Lex | Devoted Health Medicare Lex | $1,884 |
| Firsthealth-Lex | First Health Network | $1,914 |
| Multiplan-Lex | Multiplan | $1,914 |
| Aetna-Lex | Aetna | $2,034 |
| Phcs-Lex | Phcs Network | $2,154 |
| Molina_exchange-Lex | Molina Marketplace | $2,393 |
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