CT abdomen and pelvis with contrast at Iredell Memorial Hospital. CPT 74177.
What Iredell Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,215cash price (self-pay)
$4,500list price
$340–$9,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Blue Medicare Advantage | $340 |
| Cigna | Medicare Advantage | $340 |
| Humana | Medicare Advantage | $340 |
| Longevity | Medicare Advantage | $340 |
| UHC | Medicare Advantage | $340 |
| Apex | Medicare Advantage | $350 |
| Devoted | Medicare Advantage | $350 |
| Health Team Alliance | Medicare Advantage | $350 |
| Wellcare | Medicare Advantage | $350 |
| Troy Health | Medicare Advantage | $357 |
| Amerihealth NEXT | Managed Care | $679 |
| Cigna | Managed Care | $1,000 |
| Alliance | Managed Medicaid | $1,031 |
| Amerihealth Caritas | Managed Medicaid | $1,031 |
| Carolina Complete Health | Managed Medicaid | $1,031 |
| Healthy Blue | Managed Medicaid | $1,031 |
| Trillium | Managed Medicaid | $1,031 |
| UHC | Managed Medicaid | $1,031 |
| Vaya | Managed Medicaid | $1,031 |
| Wellcare | Managed Medicaid | $1,031 |
| UHC | ACA (Compass) | $1,092 |
| UHC | Managed Care | $1,461 |
| BCBS | Managed Care (HPN) | $1,875 |
| BCBS | Managed Care (Blue Value) | $2,500 |
| Aetna | Managed Care | $2,700 |
| Medcost | Ultra Product | $2,826 |
| BCBS | All Products | $2,952 |
| Medcost | Managed Care | $3,600 |
| Multiplan | Managed Care | $4,050 |
| Ambetter | Managed Care | $9,000 |
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