CT abdomen and pelvis with contrast at 62-1166050 BMH Carroll County. CPT 74177.
What 62-1166050 BMH Carroll County publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$1,617cash price (self-pay)
$7,031list price
$193–$6,328range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN BCBS | TennCare | $193 |
| TN BCBS | CoverKids | $209 |
| TN BCBS | BlueCare | $315 |
| VACCN | Veterans Administration | $326 |
| Cigna | IFP | $328 |
| TN BCBS | Network E | $331 |
| Humana | Medicare | $336 |
| Aetna | Medicare | $342 |
| American Health Plan | Medicare | $342 |
| TN BCBS | Medicare | $342 |
| Tn BCBS | Dsnp | $342 |
| Cigna | Medicare | $342 |
| TN BCBS | Network L | $366 |
| TN BCBS | Network S | $406 |
| Bartlett City Schools | Commercial | $538 |
| City of Bartlett | Commercial | $538 |
| City of Lakeland | Commercial | $538 |
| Collierville Schools | Commercial | $538 |
| EAS MSSC Schools | Commercial | $538 |
| First State Bank Trust | Commercial | $554 |
| TN BCBS | Network P | $579 |
| Armstrong Relocation | Commercial | $587 |
| Ashley Furniture Stores | Commercial | $587 |
| Brimhall Foods | Commercial | $587 |
| Building Plastic | Commercial | $587 |
| Burch Food Services | Commercial | $587 |
| Cannon Motor Company | Commercial | $587 |
| Carlisle | Commercial | $587 |
| Crittenden County | Commercial | $587 |
| Davidson Hospitality | Commercial | $587 |
Inpatient
$1,617cash price (self-pay)
$7,031list price
$505–$6,328range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arlington Community Schools | Commercial | $505 |
| PPO Holdings | Commercial | $2,672 |
| Magnolia Regional Health Center | Commercial | $2,812 |
| Littler | Commercial | $3,516 |
| United Healthcare | Commercial | $4,057 |
| Humana | CPOS/HMO/NPOS/PPO | $4,640 |
| Mpcn | PPO/HMO | $5,273 |
| Multiplan | Complementary Network | $5,273 |
| Multiplan | MPI Primary Network | $5,273 |
| NovaSys | All | $5,273 |
| PPO Plus | Commercial | $5,976 |
| QCA | All | $6,328 |
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