CT abdomen and pelvis with contrast at Prisma Health Baptist Hospital. CPT 74177.
What Prisma Health Baptist Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$3,397cash price (self-pay)
$5,226list price
$330–$4,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare [900] | Phm Hb Tricare - Baptist | $330 |
| Alternate Medicare Covid [20102] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Alternate Medicare [201] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phm Hb Medicar | $336 |
| Medicare Healthspring Fka Cigna [250] | Phm Hb 100% Of Medicare - Bap | $336 |
| Medicare Advantage Plan Generic [265] | Phm Hb 100% Of Medicare - Bapt | $336 |
| Medicare Alternate [20103] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Medicare BCBS Out Of State [270] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Medicare BCBS [210] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Medicare Devoted Health [2045] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Medicare Humana [205] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Medicare Mvp PPO [240] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Medicare Pruitthealth Premier Nc/Sc [295] | Phm Hb 100% Of Medicare - | $336 |
| Medicare Railroad [4180] | Phm Hb 100% Of Medicare - Baptist | $336 |
| Medicare [200] | Phm Hb Medicare - Baptist | $336 |
| Triwest Healthcare Alliance Vcp [902] | Phm Hb Vaccn - Baptist | $336 |
| Va Community Care Network-Vaccn [903] | Phm Hb Vaccn - Baptist | $336 |
| Medicare Allwell-Absolute Total Care [275] | Phm Hb Absolute Total Car | $346 |
| Medicare Wellcare By Allwell [276] | Phm Hb Absolute Total Care Medica | $346 |
| Medicare Wellcare [255] | Phm Hb Absolute Total Care Medicare Baptist | $346 |
| Medicare Adv [26501] | Phm Hb UHC Medicare - Baptist | $347 |
| Medicare Advantage [26503] | Phm Hb UHC Medicare - Baptist | $347 |
| Medicare United Healthcare [230] | Phm Hb UHC Medicare - Baptist | $347 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phm Hb 105% Of Medic | $352 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phm Hb 105% Of Medicare | $352 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phm Hb 105% Of Medic | $352 |
| Medicare Healthspring Fka Cigna [250] | Phm Hb 105% Of Medicare - Bap | $352 |
| Medicare Adv [26501] | Phm Hb 105% Of Medicare - Baptist | $352 |
| Medicare Adv [26501] | Phm Hb Aetna PPO And Prime HMO Medicare - Bapti | $352 |
| Medicare Aetna [235] | Phm Hb Aetna PPO And Prime HMO Medicare - Bapti | $352 |
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