CT abdomen and pelvis with contrast at Prisma Health Oconee Memorial Hospital. CPT 74177.
What Prisma Health Oconee Memorial 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
$353–$4,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alternate Medicare Covid [20102] | Phu Hb 100% Of Medicare - Omh | $355 |
| Alternate Medicare [201] | Phu Hb 100% Of Medicare - Omh | $355 |
| Champva [3049] | Phu Hb 100% Of Medicare - Omh | $355 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phu Hb Medicar | $355 |
| Deseret Mutual Ins Co [3066] | Phu Hb 100% Of Medicare - Omh | $355 |
| Forethought Medicare Supplement [3075] | Phu Hb 100% Of Medicare - Omh | $355 |
| Generic Skilled Nursing [3196] | Phu Hb 100% Of Medicare - Omh | $355 |
| Healthspring/Cigna Medicare Supplement [3051] | Phu Hb 100% Of Medicar | $355 |
| Hop Medicare Supplement [3089] | Phu Hb 100% Of Medicare - Omh | $355 |
| Hospice Contracted [1500] | Phu Hb 100% Of Medicare - Omh | $355 |
| Hospice Non Contracted [3190] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Healthspring Fka Cigna [250] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Adv [26501] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Advantage Plan Generic [265] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Alternate [20103] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Americas 1st Choice Nc [260] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Americas 1st Choice Sc [225] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare BCBS Out Of State [270] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare BCBS [210] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Devoted Health [2045] | Phu Hb 100% Of Medicare - Omh | $355 |
| Medicare Adv [26501] | Phu Hb 102% Of Medicare - Omh | $362 |
| Medicare Adv [26501] | Phu Hb Humana Medicare Pffs - Oconee | $362 |
| Medicare BCBS [210] | Phu Hb 102% Of Medicare - Omh | $362 |
| Medicare Humana [205] | Phu Hb Humana Medicare Pffs - Oconee | $362 |
| Medicare Adv [26501] | Phu Hb UHC Medicare - Omh | $368 |
| Medicare Advantage [26503] | Phu Hb UHC Medicare - Omh | $368 |
| Medicare Adv [26501] | Phu Hb 104% Humana Medicare - Oconee | $369 |
| Medicare Humana [205] | Phu Hb 104% Humana Medicare - Oconee | $369 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phu Hb 105% Of Medic | $373 |
| Medicare Healthspring Fka Cigna [250] | Phu Hb 105% Of Medicare - Omh | $373 |
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All common services at Prisma Health Oconee Memorial Hospital