CT abdomen and pelvis with contrast at CaroMont Regional Medical Center - Mount Holly, Emergency Department. CPT 74177.
What CaroMont Regional Medical Center - Mount Holly, Emergency Department publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$7,873cash price (self-pay)
$7,873list price
$356–$7,479range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue | Medicare Advantage | $356 |
| United HealthCare | Medicare Advantage | $356 |
| United Healthcare Behavioral Health | Medicare Advantage | $356 |
| Aetna | Medicare Advantage | $371 |
| HealthTeam | Medicare Advantage | $374 |
| Devoted Health | Medicare Advantage | $374 |
| Longevity Health | Medicare Advantage | $374 |
| Molina | Medicare Advantage | $374 |
| Humana ChoiceCare | Medicare Advantage | $381 |
| United HealthCare | Commercial | $611 |
| Surgery Plus | Commercial | $624 |
| Cigna | Individual Family Plan | $663 |
| Carolina Caring | Commercial | $891 |
| Corporate Benefits Service | Commercial | $959 |
| Aetna | NC Preferred | $1,023 |
| Aetna | PPO | $1,023 |
| Cigna | PPO | $1,063 |
| Blue Cross Blue | Medicaid Managed Care | $1,185 |
| Carolina Complete Health | Medicaid Managed Care | $1,185 |
| Partners Behavioral Health | Medicaid | $1,185 |
| Alliance Behavioral Health | Medicaid | $1,209 |
| Amerihealth Caritas | Medicaid Managed Care | $1,209 |
| Carolina Complete Health Tailored Plans | Medicaid Managed Care | $1,209 |
| United HealthCare | Medicaid Managed Care | $1,209 |
| Vaya Behavioral Health | Medicaid | $1,209 |
| Wellcare | Medicaid Managed Care | $1,209 |
| Absolute Total Care | Medicaid Managed Care | $2,212 |
| Molina | Medicaid Managed Care | $2,212 |
| Gaston County Jail | Other | $2,370 |
| Blue Cross Blue Value Individual | Commercial | $2,889 |
Inpatient
$7,873cash price (self-pay)
$7,873list price
—range insurers pay
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All common services at CaroMont Regional Medical Center - Mount Holly, Emergency Department