CT abdomen and pelvis with contrast at Holzer Medical Center - Jackson. CPT 74177.
What Holzer Medical Center - Jackson publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$2,174cash price (self-pay)
$4,348list price
$2,187–$4,131range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Exchange | Pathway X HMO | $2,187 |
| Anthem Exchange | Pathway X PPO | $2,304 |
| Anthem | Blue Access | $2,483 |
| Anthem | Blue Preferred | $2,483 |
| Anthem | Blue Traditional | $2,539 |
| Aetna | PPO | $2,826 |
| Aetna | HMO | $2,826 |
| Aetna | POS | $2,826 |
| United Healthcare | PPO | $2,826 |
| United Healthcare | POS | $2,826 |
| Medben | Direct Agreement | $2,826 |
| Cigna | PPO | $3,174 |
| Association Benefit Solutions | Direct Agreement | $3,261 |
| Healthsmart | Accel | $3,261 |
| Ohio Health Choice | PHC-Plus | $3,261 |
| Mmo | PPO | $3,348 |
| Mmo | HMO | $3,348 |
| MMO Marketplace | HMO | $3,348 |
| Quality Care Partners | PPO | $3,391 |
| Quality Care Partners Marketplace | Antidote Health | $3,391 |
| The Health Plan | PPO | $3,478 |
| The Health Plan | POS | $3,478 |
| The Health Plan | HMO | $3,478 |
| The Health Plan | ASO | $3,478 |
| Humana | Traditional | $3,913 |
| Humana | PPO | $3,913 |
| Humana | POS | $3,913 |
| Humana | EPOS | $3,913 |
| Humana | HMO | $3,913 |
| Healthsmart | PPO | $4,131 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.