CT abdomen and pelvis with contrast at CHI Memorial Hospital Hixson. CPT 74177.
What CHI Memorial Hospital Hixson publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$715cash price (self-pay)
$2,414list price
$245–$1,690range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Medicaid|TennCare | $245 |
| BCBS - TN | Medicaid|BlueCare | $287 |
| Cigna | Commercial|LocalPlus | $302 |
| Cigna | Commercial|Open Access | $302 |
| BCBS - ND | Medicare|All Plans | $333 |
| Cigna | Medicare|Healthspring | $336 |
| Humana | Medicare|HMO | $339 |
| Amerigroup | Medicare|All Plans | $342 |
| Humana | Medicare|All Other Plans | $352 |
| Humana | Medicare|PPO | $352 |
| BCBS - TN | Commercial|Network S | $449 |
| Employers Health Network | Commercial|All Plans | $455 |
| Peach State | Medicaid|All Plans | $483 |
| BCBS - TN | Commercial|Network P | $566 |
| Centene | Commercial|Ambetter Exchange | $601 |
| Alliant Health | Commercial|All Plans | $759 |
| United | Commercial|Non-Options | $859 |
| United | Commercial|Options | $859 |
| Humana | Commercial|All Plans | $1,389 |
| Multiplan | Commercial|All Plans | $1,448 |
| Health One Alliance | Commercial|All Plans | $1,467 |
| Aetna | Commercial|Gatekeeper | $1,690 |
| Aetna | Commercial|Non-Gatekeeper | $1,690 |
Inpatient
$715cash price (self-pay)
$2,414list price
—range insurers pay
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