CT abdomen and pelvis with contrast at Johnson County Community Hospital. CPT 74177.
What Johnson County Community Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$549cash price (self-pay)
$2,388list price
$224–$2,388range 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 |
| Cigna Healthcare | Cigna Individual Family Plan | $427 |
| Optima Health | Optima Health Medicaid | $442 |
| Blue Cross | Anthem Hlthkeep Mediciad | $455 |
| United Healthcare | United Healthcare Medicaid Virginia | $455 |
| Aetna | Aetna Better Health Of Virginia | $459 |
| Molina Healthcare | Molina Healthcare Medicaid | $459 |
| Cigna Healthcare | Cigna HMO | $498 |
| Cigna Healthcare | Cigna Open Access Plus | $498 |
| United Healthcare | Tenncare United Healthcare | $522 |
| Cigna Healthcare | Cigna PPO | $542 |
| Amerigroup | Amerigroup | $650 |
| Aetna | Aetna Better Health Of Virginia Medicare | $693 |
| Aetna | Aetna Healthcare Medicare | $693 |
| Allcare Medicare | Allcare Medicare | $693 |
| Amerigroup | Amerigroup Medicare Wellpoint | $693 |
| Managed Medicaire | Managed Medicaire | $693 |
| Sentara Health | Sentara Medicare | $693 |
| United Healthcare | United Healthcare Medicare | $693 |
| Humana | Humana Medicare | $704 |
| Blue Cross | Anthem Medicare Virginia | $713 |
| Molina Healthcare | Molina Healthcare Medicare | $720 |
| Cigna Healthcare | Cigna Medicare | $727 |
| Devoted Health Plan | Devoted Health Plan Medicare | $727 |
| Nhc Advantage | Nhc Advantage | $727 |
| Ambetter | Ambetter | $764 |
| Sentara Health | Sentara Health | $810 |
| Medcost | Medcost Vhn | $836 |
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