CT abdomen and pelvis with contrast at Methodist South Hospital. CPT 74177.
What Methodist South Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$1,949cash price (self-pay)
$8,861list price
$50.00–$925range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $150 |
| BCBS MEDICAID REPLACEMENT [350011] | HB Bluecare Adult Contract | $195 |
| BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Se | $203 |
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $206 |
| Ar Medicaid Replacement [350010] | Hb Xr Ar Passe Caid/Caresource/Empo | $206 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $285 |
| Cigna [100009] | Hb Cigna EPO Adult Locations | $285 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $327 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $327 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $327 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $327 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $327 |
| Transplant Optum Medicare [450095] | Hb Medicare Advantage / Managed C | $327 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $327 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $327 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $327 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $327 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $327 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $327 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $337 |
| Tricare [600001] | Hb Tricare - Tn Contract | $344 |
| CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Ca | $432 |
| CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Ca | $475 |
| CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Br | $501 |
| UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $517 |
| CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-C | $554 |
| CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Ca | $609 |
| UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown- | $609 |
| UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-M | $611 |
| UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $611 |
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