CT abdomen and pelvis with contrast at Phelps Memorial Health Center. CPT 74177.
What Phelps Memorial Health Center publishes for this service, straight from its standard-charges file, last updated February 16, 2026.
Outpatient / ER
$5,434cash price (self-pay)
$6,038list price
$2,476–$6,750range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Mcaid | UHC Mcaid | $2,476 |
| BCBS Mcr Adv | BCBS Mcr Adv | $2,596 |
| Aetna Mcr Adv | Aetna Mcr Adv | $2,596 |
| Good Samaritan Mcr Adv - All Plans | Good Samaritan Mcr Adv - All Plan | $2,596 |
| Medica Mcr Adv | Medica Mcr Adv | $2,596 |
| UHC Mcr Adv | UHC Mcr Adv | $2,596 |
| Va Ccn - All Plans | Va Ccn - All Plans | $2,596 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $2,596 |
| Aetna Better Hlth Mcaid | Aetna Better Hlth Mcaid | $2,657 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $2,657 |
| BCBS-All Other Plans | BCBS-All Other Plans | $2,721 |
| Three Rivers - All Plans | Three Rivers - All Plans | $3,116 |
| 6 Degrees Hlth - All Plans | 6 Degrees Hlth - All Plans | $4,830 |
| Partners Hlth Alliance - All Plans | Partners Hlth Alliance - All Plan | $4,830 |
| Providrs Care/Wppa - All Plans | Providrs Care/Wppa - All Plans | $5,434 |
| Cpi Benefit Group-All Plans | Cpi Benefit Group-All Plans | $5,434 |
| Aetna-All Other Plans | Aetna-All Other Plans | $5,567 |
| Provider Network Of American - All Plans | Provider Network Of America | $5,615 |
| Medica-All Other Plans | Medica-All Other Plans | $5,676 |
| Chi Health Partners - All Plans | Chi Health Partners - All Plans | $5,736 |
| Midwest Ntwrk Alliance - All Plans | Midwest Ntwrk Alliance - All Plan | $5,736 |
| First Health - All Plans | First Health - All Plans | $5,742 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $5,857 |
| Ambetter - All Plans | Ambetter - All Plans | $6,750 |
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