CT abdomen and pelvis with contrast at Claiborne Medical Center. CPT 74177.
What Claiborne Medical Center publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$739cash price (self-pay)
$2,640list price
$124–$2,376range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TN | Blue Care | $259 |
| Cigna | HMO | $279 |
| Cigna | Local Plus | $279 |
| Cigna | OAP | $279 |
| Cigna | POS | $279 |
| Cigna | IFP | $287 |
| Humana | DSNP | $349 |
| Humana | Medicare Advantage HMO | $349 |
| Humana | Medicare Advantage PPO | $349 |
| Farm Bureau | Medicare Advantage HMO | $353 |
| Farm Bureau | Medicare Advantage PPO | $353 |
| Aetna | Medicare Advantage | $356 |
| Blue Cross of TN | BlueEssential DSNP | $356 |
| Blue Cross of TN | BlueEssential HMO | $356 |
| Blue Cross of TN | Med Adv Diamond | $356 |
| Blue Cross of TN | Med Adv PPO | $356 |
| Blue Cross of TN | Med Adv Ruby | $356 |
| Blue Cross of TN | Med Adv Sapphire | $356 |
| Cigna | Medicare HMO | $356 |
| Cigna | Medicare HMO-POS | $356 |
| Cigna | Medicare PPO | $356 |
| Devoted Health | HMO | $356 |
| Devoted Health | PPO | $356 |
| HealthSpring | Medicare HMO POS | $356 |
| HealthSpring | Medicare PPO | $356 |
| Aetna | Commercial | $416 |
| BCBS TN | Commercial Network P | $548 |
| BCBS TN | Commercial Network S | $548 |
| Ambetter | Exchange | $639 |
| United Healthcare | All Other Plans | $833 |
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