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CT abdomen and pelvis with contrast at Transylvania Regional Hospital. CPT 74177.

What Transylvania Regional Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$9,586cash price (self-pay)
$9,586list price
$1,811–$8,627range insurers pay
Insurance planNegotiated rate
BCBS | Mgmcd$1,811
United | BHMGMCD$1,838
WellCare | MGMCD$1,865
AmeriHealth | MGMCD$1,884
Partners Health Management | MGMCD$1,901
Vaya Health | MedicaidDirect$1,901
Vaya Health | MedicaidTailoredPlan$1,901
Apex Health | MCR$1,917
BCBS | Mcr$1,917
Aetna | MCR$2,492
Cigna | Hix$3,508
Cigna | Ifp$3,508
CIGNA | NewBusiness$3,508
United | AllPayerAppendix$3,518
AmeriHealth Caritas | Commercial-Exchange$3,930
United | OptionsPPO$4,055
Caresource | Hix$4,218
United | GlobalBenefitPlanAppendix$4,314
MedCost | ULTRARATE$4,331
CIGNA | ExistingBusiness$4,879
Aetna | COMM$6,739
Multiplan | COMM$7,669
Avalon Administrative Services | COMM$8,148
MedCost | STANDARD$8,148
Prime Health | COMM$8,435
Prime Health | WCOMP$8,435
Prime Health | INDIGENTCARE$8,627
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All common services at Transylvania Regional Hospital