CT abdomen and pelvis with contrast at Methodist Jennie Edmundson. CPT 74177.
What Methodist Jennie Edmundson publishes for this service, straight from its standard-charges file, last updated February 15, 2026.
Outpatient / ER
$1,641cash price (self-pay)
$5,527list price
$278–$3,909range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Medicare Advantage | Wellmark Medicare Advantage | $316 |
| Humana | Humana Medicare Advantage | $351 |
| Aetna | Aetna | $567 |
| Elite Choice - MJE | Elite Choice - MJE | $630 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $659 |
| Wellmark | Wellmark HMO - MJE | $692 |
| Wellmark | Wellmark PPO - MJE | $761 |
| BCBS | BCBS Select | $814 |
| BCBS | BCBS | $829 |
| Medica | Medica Medicare Advantage | $1,409 |
| Molina Medicare Advantage | Molina Medicare Advantage | $1,410 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $1,543 |
| Medica | Elevate by Medica | $1,638 |
| Aetna | Aetna Medicare Advantage | $1,817 |
| United Healthcare | UHC Medicare Advantage | $1,819 |
| Medica Choice | Medica Choice | $1,927 |
| BCBS | BCBS Medicare Advantage | $1,956 |
| UHC | UHC Nexus | $1,996 |
| United Healthcare | UHC | $2,044 |
| Midlands Choice | Midlands Choice - MJE | $2,277 |
| NE Furniture Mart | NE Furniture Mart | $2,925 |
Inpatient
$1,641cash price (self-pay)
$5,527list price
—range insurers pay
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