CT abdomen and pelvis with contrast at Bristol Regional Medical Center. CPT 74177.
What Bristol Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$560cash price (self-pay)
$3,731list price
$224–$3,731range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Tenncare Blue Care | $224 |
| Blue Cross | Tenncare Blue Select | $224 |
| Blue Cross | Blue Cross Ballad Health Employee | $237 |
| Aetna | Aetna Healthcare Medicare | $331 |
| Allcare Medicare | Allcare Medicare | $331 |
| Humana | Humana Medicare | $331 |
| Managed Medicaire | Managed Medicaire | $331 |
| Sentara Health | Sentara Medicare | $331 |
| Aetna | Aetna Better Health Of Virginia Medicare | $341 |
| Blue Cross | Anthem Medicare Virginia | $341 |
| Amerigroup | Amerigroup Medicare Wellpoint | $344 |
| Blue Cross | Blue Cross Medicare | $344 |
| Cigna Healthcare | Cigna Medicare | $348 |
| Devoted Health Plan | Devoted Health Plan Medicare | $348 |
| Molina Healthcare | Molina Healthcare Medicare | $348 |
| Mountain Empire Pace | Mountain Empire Pace | $348 |
| Nhc Advantage | Nhc Advantage | $348 |
| United Healthcare | Tenncare United Healthcare | $348 |
| Blue Cross | Anthem Hlthkeep Mediciad | $414 |
| Optima Health | Optima Health Medicaid | $414 |
| Aetna | Aetna Better Health Of Virginia | $418 |
| Molina Healthcare | Molina Healthcare Medicaid | $422 |
| Cigna Healthcare | Cigna Individual Family Plan | $427 |
| Cigna Healthcare | Cigna HMO | $642 |
| Cigna Healthcare | Cigna Open Access Plus | $642 |
| Cigna Healthcare | Cigna PPO | $642 |
| Blue Cross | Blue Cross E Network | $680 |
| Blue Cross | Blue Cross P Network | $695 |
| Blue Cross | Blue Cross S Network | $695 |
| Ambetter | Ambetter | $721 |
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