CT abdomen and pelvis with contrast at Parkridge Valley Hospital. CPT 74177.
What Parkridge Valley Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$10,129cash price (self-pay)
$10,129list price
$91.85–$9,984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health One Alliance | COMMHIX | $351 |
| Aetna | COMM | $367 |
| Aetna | NewBusiness | $367 |
| Peach State (Ambetter) | HIX | $660 |
| Ambetter | CORE | $661 |
| Aetna | MGMCRHMO | $1,519 |
| Aetna | MGMCRPPO | $1,519 |
| Aetna | MGMCRSNP | $1,519 |
| NHC Advantage, Inc. | MCRHMO | $1,925 |
| Pruitt Health (AllyAlign) | MCR | $1,925 |
| Wellcare | MCD | $2,026 |
| Humana | TRICARE | $2,532 |
| BCBS | StandardBH | $3,140 |
| Value Option | COMM | $5,065 |
| Magellan Behavioral Health | COMM | $6,078 |
| Magellan Behavioral Health | MCR | $6,078 |
| Multiplan | COMM | $6,078 |
| Humana BH | MCR | $6,584 |
| Cigna Evernorth Behavioral Health | COMM | $8,104 |
| ComPsych | COMM | $8,104 |
| Beech Street | COMM | $8,914 |
| Prime Health | COMMPPO | $8,914 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.