CT abdomen and pelvis with contrast at Macon Community Hospital. CPT 74177.
What Macon Community Hospital publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$857cash price (self-pay)
$1,429list price
$193–$1,286range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bluecare_tn_medicaid | Bluecare Tenncare Medicaid | $193 |
| Uhc_tenncare | United Tenncare Community Plan | $217 |
| Cigna | Cigna | $368 |
| Tricare | Tricare | $385 |
| Mcradv_amerigroup | Wellpoint Medicare Advantage | $414 |
| Mcradv_bcbs | BCBS HMO Medicare Advantage | $414 |
| Mcradv_cigna | Cigna Healthspring Medicare Advantage | $414 |
| Mcradv_farm_bureau | Farm Bureau Medicare Advantage | $414 |
| Mcradv_humana | Humana Medicare Advantage | $414 |
| Mcradv_united | United Medicare Advantage | $414 |
| Mcradv_wellcare | Wellcare Medicare Advantage | $414 |
| Vaccn Optum | Va Community Care Network Optum | $414 |
| Wellpoint_tenncare | Wellpoint Tennessee Medicaid | $414 |
| Bluecross_s | Blue Preferred Network S | $417 |
| Bluecross_p | Blue Preferred Network P | $453 |
| Humana | Humana Choicecare | $1,143 |
| Aetna | Aetna | $1,214 |
| Phcs | Phcs | $1,286 |
| UHC | United Healthcare | $1,286 |
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