CT abdomen and pelvis with contrast at Sampson Regional Medical Center. CPT 74177.
What Sampson Regional Medical Center publishes for this service, straight from its standard-charges file, last updated May 7, 2026.
Outpatient / ER
$4,240cash price (self-pay)
$6,057list price
$333–$6,057range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Nc Mcr Adv | BCBS Nc Mcr Adv | $333 |
| Liberty Adv - All Plans | Liberty Adv - All Plans | $340 |
| UHC Med Adv | UHC Med Adv | $340 |
| Aetna Mcr Adv | Aetna Mcr Adv | $347 |
| Gateway Mcr Adv - All Plans | Gateway Mcr Adv - All Plans | $347 |
| Prime/Travelers/Three Rivers - All Plans | Prime/Travelers/Three River | $367 |
| Troy Medicare - All Plans | Troy Medicare - All Plans | $367 |
| Healthy Blue Mcaid - All Plans | Healthy Blue Mcaid - All Plans | $1,204 |
| Wellcare Mcaid - All Plans | Wellcare Mcaid - All Plans | $1,204 |
| UHC Mcaid | UHC Mcaid | $1,216 |
| UHC - All Other Plans | UHC - All Other Plans | $1,418 |
| BCBS Nc Ip/Op Only - All Other Plans | BCBS Nc Ip/Op Only - All Other | $3,761 |
| Medcost - All Plans | Medcost - All Plans | $4,676 |
| Aetna - All Other Plans | Aetna - All Other Plans | $5,451 |
| Cigna - All Plans | Cigna - All Plans | $5,451 |
| Multiplan - All Plans | Multiplan - All Plans | $5,572 |
| Bc Nc Indemnity Ip/Op Only | Bc Nc Indemnity Ip/Op Only | $6,057 |
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