CT abdomen and pelvis with contrast at 62-1113167 BMH Tipton. CPT 74177.
What 62-1113167 BMH Tipton publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$1,845cash price (self-pay)
$7,687list price
$285–$6,918range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN BCBS | TennCare | $293 |
| TN BCBS | CoverKids | $317 |
| TN BCBS | Network E | $331 |
| Ar BCBS | Lppo | $334 |
| AR BCBS | Medicare | $334 |
| Devoted Health | Medicare | $334 |
| Aetna | Medicare | $343 |
| American Health Plan | Medicare | $343 |
| TN BCBS | Medicare | $343 |
| Tn BCBS | Dsnp | $343 |
| TN BCBS | Network L | $366 |
| AR BCBS | FirstSource PPO/HealthAdvantage HMO/Preferred Payment Plan/T | $367 |
| AR BCBS | TrueBlue Individual Metallic-Level Plan | $367 |
| TN BCBS | Network S | $406 |
| Arlington Community Schools | Commercial | $540 |
| Bartlett City Schools | Commercial | $540 |
| City of Bartlett | Commercial | $540 |
| City of Lakeland | Commercial | $540 |
| Collierville Schools | Commercial | $540 |
| EAS MSSC Schools | Commercial | $540 |
| TN BCBS | Network P | $579 |
| Armstrong Relocation | Commercial | $589 |
| Ashley Furniture Stores | Commercial | $589 |
| Brimhall Foods | Commercial | $589 |
| Building Plastic | Commercial | $589 |
| Burch Food Services | Commercial | $589 |
| Cannon Motor Company | Commercial | $589 |
| Carlisle | Commercial | $589 |
| Crittenden County | Commercial | $589 |
| Davidson Hospitality | Commercial | $589 |
Inpatient
$1,845cash price (self-pay)
$7,687list price
$2,921–$6,918range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $2,921 |
| Magnolia Regional Health Center | Commercial | $3,075 |
| Littler | Commercial | $3,844 |
| Molina | Exchange | $3,844 |
| Access Health Services | Commercial | $4,612 |
| Ar BCBS | Lppo | $4,612 |
| AR BCBS | Medicare | $4,612 |
| Butler Snow | Commercial | $4,612 |
| UHC Student Resources | Commercial | $4,612 |
| Mpcn | PPO/HMO | $5,765 |
| Multiplan | Complementary Network | $5,765 |
| NovaSys | All | $5,765 |
| PPO Plus | Commercial | $6,534 |
| QCA | All | $6,918 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.