CT abdomen and pelvis with contrast at Prisma Health Tuomey Hospital. CPT 74177.
What Prisma Health Tuomey 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
$326–$4,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alternate Medicare Covid [20102] | Phm Hb 100% Of Medicare - Tuomey | $326 |
| Alternate Medicare [201] | Phm Hb 100% Of Medicare - Tuomey | $326 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phm Hb Medicar | $326 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phm Hb 105% Of Medic | $342 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phm Hb 105% Of Medicare | $342 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phm Hb 105% Of Medic | $342 |
| Medicaid Select Health Of Sc [400] | Phm Hb Select Health Medicaid - T | $358 |
| Medicaid Sc [300] | Phm Hb Sc Medicaid - Tuomey | $443 |
| Medicaid Molina Healthcare Sc [440] | Phm Hb Molina Medicaid - Tuomey | $457 |
| Medicaid Absolute Total Care [410] | Phm Hb Absolute Total Care Medica | $466 |
| Medicaid Bluechoice [420] | Phm Hb Bluechoice Medicaid - Tuomey | $466 |
| Medicaid Humana Healthy Horizons [6110] | Phm Hb Humana Medicaid - Tuo | $474 |
| Ambetter Exchange-All States Contracted [4121] | Phm Ambetter By Atc - | $600 |
| BCBS [800] | Phm Hb Blues Exchange - Tuomey | $778 |
| Bluechoice [810] | Phm Hb Blues Exchange - Tuomey | $778 |
| 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 |
| All Savers - UHC [2980] | Phm Hb United Healthcare All Payer - Tuomey | $829 |
| Bind-Surest Benefits On Demand-UHC [2972] | Phm Hb United Healthcare A | $829 |
| Golden Rule Insurance Company [2991] | Phm Hb United Healthcare All Pa | $829 |
| Medica United Healthcare [2987] | Phm Hb United Healthcare All Payer - | $829 |
| BCBS [800] | Phm Hb BCBS State Tuomey | $873 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $1,840 |
| Cigna [2800] | Phm Hb Cigna - Tuomey | $2,258 |
| Bluechoice [810] | Phm Bluechoice Tuomey | $3,035 |
| BCBS [800] | Phm Hb BCBS Sc Tuomey | $3,036 |
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