CT abdomen and pelvis with contrast at Hawkins County Memorial Hospital. CPT 74177.
What Hawkins County Memorial Hospital 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 |
| United Healthcare | Tenncare United Healthcare | $290 |
| Aetna | Aetna Better Health Of Virginia Medicare | $317 |
| Aetna | Aetna Healthcare Medicare | $317 |
| Allcare Medicare | Allcare Medicare | $317 |
| Humana | Humana Medicare | $317 |
| Managed Medicaire | Managed Medicaire | $317 |
| Sentara Health | Sentara Medicare | $317 |
| Blue Cross | Anthem Medicare Virginia | $326 |
| Amerigroup | Amerigroup Medicare Wellpoint | $329 |
| Blue Cross | Blue Cross Medicare | $329 |
| Cigna Healthcare | Cigna Medicare | $332 |
| Devoted Health Plan | Devoted Health Plan Medicare | $332 |
| Molina Healthcare | Molina Healthcare Medicare | $332 |
| Mountain Empire Pace | Mountain Empire Pace | $332 |
| Nhc Advantage | Nhc Advantage | $332 |
| Cigna Healthcare | Cigna Individual Family Plan | $427 |
| Blue Cross | Anthem Hlthkeep Mediciad | $455 |
| Optima Health | Optima Health Medicaid | $455 |
| Aetna | Aetna Better Health Of Virginia | $459 |
| Molina Healthcare | Molina Healthcare Medicaid | $464 |
| Cigna Healthcare | Cigna HMO | $642 |
| Cigna Healthcare | Cigna Open Access Plus | $642 |
| Cigna Healthcare | Cigna PPO | $642 |
| Blue Cross | Blue Cross E Network | $674 |
| Blue Cross | Blue Cross P Network | $689 |
| Blue Cross | Blue Cross S Network | $689 |
| Ambetter | Ambetter | $690 |
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