CT abdomen and pelvis with contrast at Prisma Health Richland Hospital. CPT 74177.
What Prisma Health Richland 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
$335–$4,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alternate Medicare Covid [20102] | Phm Hb 100% Of Medicare - Richland | $335 |
| Alternate Medicare [201] | Phm Hb 100% Of Medicare - Richland | $335 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phm Hb Medicar | $335 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phm Hb 105% Of Medic | $351 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phm Hb 105% Of Medicare | $351 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phm Hb 105% Of Medic | $351 |
| Medicaid Humana Healthy Horizons [6110] | Phm Hb Humana Medicaid - Ric | $570 |
| Medicaid Bluechoice [420] | Phm Hb Bluechoice Medicaid - Richland | $607 |
| Ambetter Exchange-All States Contracted [4121] | Phm Ambetter By Atc - | $616 |
| Medicaid Molina Healthcare Sc [440] | Phm Hb Molina Medicaid - Richlan | $629 |
| Medicaid Absolute Total Care [410] | Phm Hb Absolute Total Care Medica | $662 |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $805 |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $805 |
| MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $805 |
| MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $805 |
| MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $805 |
| MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $805 |
| BCBS [800] | Phm Hb BCBS State Richland | $873 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $1,840 |
| BCBS [800] | Phm Hb Blues Exchange - Richland | $2,040 |
| Bluechoice [810] | Phm Hb Blues Exchange - Richland | $2,040 |
| All Savers - UHC [2980] | Phm Hb United Healthcare All Payer - Richlan | $2,230 |
| Bind-Surest Benefits On Demand-UHC [2972] | Phm Hb United Healthcare A | $2,230 |
| Golden Rule Insurance Company [2991] | Phm Hb United Healthcare All Pa | $2,230 |
| Medica United Healthcare [2987] | Phm Hb United Healthcare All Payer - | $2,230 |
| Cigna [2800] | Phm Hb Cigna - Midlands | $2,365 |
| Evernorth Behavioral Contracted [2982] | Phm Hb Cigna - Midlands | $2,365 |
| Bluechoice [810] | Phm Bluechoice Richland | $2,371 |
| BCBS [800] | Phm Hb BCBS Sc Richland | $3,223 |
| Aetna [2000] | Phm Hb Aetna Sc Preferred | $3,345 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.