CT abdomen and pelvis with contrast at Newberry County Memorial Hospital. CPT 74177.
What Newberry County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2026.
Outpatient / ER
$1,217cash price (self-pay)
$3,289list price
$346–$3,059range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare Advantrage | HMO | $346 |
| Aetna Medicare Advantage | HMO | $346 |
| Molina Medicare Advantage | HMO | $356 |
| Devoted Health | PPO | $356 |
| Humana Medicare Advantage | HMO | $356 |
| South Carolina Medicaid | HMO | $358 |
| Humana Medicaid Replacement | HMO | $358 |
| NHC Medicare Advantage | HMO | $360 |
| Select Health Medicare Advantage | HMO | $363 |
| Ambetter Exchange | PPO | $363 |
| Molina Marketplace | PPO | $363 |
| Liberty Medicare Advantage | HMO | $367 |
| Cigna Medicaid Replacement | HMO | $375 |
| Self Pay | PPO | $1,217 |
| BCBS Blue Choice | PPO | $2,220 |
| Aetna Commercial | PPO | $2,227 |
| UHC Options PPO | PPO | $2,477 |
| Cigna Commercial | PPO | $2,621 |
| United Payers and United Providers (UP & UP) | PPO | $3,059 |
Inpatient
$1,217cash price (self-pay)
$3,289list price
$79.00–$3,059range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Commercial | PPO | $79.00 |
| Self Pay | PPO | $1,217 |
| BCBS Blue Choice | PPO | $1,917 |
| South Carolina Medicaid | HMO | $2,120 |
| Cigna Medicaid Replacement | HMO | $2,120 |
| Humana Medicaid Replacement | HMO | $2,120 |
| Aetna Commercial | PPO | $2,227 |
| United Payers and United Providers (UP & UP) | PPO | $3,059 |
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