CT abdomen and pelvis with contrast at Maury Regional Medical Center. CPT 74177.
What Maury Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,708cash price (self-pay)
$4,166list price
$156–$3,999range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of Tennessee | Medicaid | $269 |
| Wellpoint | Medicaid | $302 |
| BCBS of Tennessee | TennCare Select | $326 |
| Cigna | Medicare Advantage | $342 |
| Humana Military | Tricare | $342 |
| Humana | Medicare Advantage | $342 |
| Medicare | Medicare | $342 |
| UnitedHealthcare | Dual Special Needs | $342 |
| UnitedHealthcare | Veterans Affairs | $342 |
| Wellpoint | Medicare Advantage | $342 |
| UnitedHealthcare | Medicare Advantage | $349 |
| Aetna | Medicare Advantage | $352 |
| American Health Plans | Medicare Advantage | $352 |
| NHC | Medicare Advantage | $352 |
| WellCare Harmony Health | Medicare Advantage | $352 |
| BCBS of Tennessee | Dual Special Needs | $354 |
| BCBS of Tennessee | Medicare Advantage | $354 |
| ClaimDOC | Commercial | $821 |
| Partners Direct Health | Commercial | $821 |
| Oscar | Commercial Exchange | $872 |
| Ambetter | Commercial Exchange | $886 |
| UnitedHealthcare | Medicaid | $1,612 |
| Aetna | Whole Health & VHAN | $1,921 |
| UnitedHealthcare | Commercial | $1,937 |
| BCBS of Tennessee | Commercial Network P | $2,041 |
| BCBS of Tennessee | Commercial Network S | $2,041 |
| Cigna | Commercial | $2,071 |
| Wayne County Jail | Commercial | $2,083 |
| Lawrence County Jail | Commercial | $3,125 |
| Lewis County Jail | Commercial | $3,125 |
Inpatient
$1,708cash price (self-pay)
$4,166list price
$1,554–$4,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Medicaid | $1,554 |
| Wayne County Jail | Commercial | $2,083 |
| Lawrence County Jail | Commercial | $3,125 |
| Lewis County Jail | Commercial | $3,125 |
| Marshall County Jail | Commercial | $3,125 |
| State of Tennessee | Workers Compensation | $3,333 |
| Aetna | Commercial | $3,749 |
| FirstHealth | Commercial | $3,999 |
| Tennessee Carriers, Inc. | Medicaid | $4,166 |
| Wellpoint TCI | Medicaid | $4,166 |
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