CT abdomen and pelvis with contrast at Skyline Madison Campus. CPT 74177.
What Skyline Madison Campus publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$18,018cash price (self-pay)
$18,018list price
$259–$17,658range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Tenncare | $259 |
| BCBS | Coverkids | $280 |
| United | AllPayerAppendix | $341 |
| United | Core | $341 |
| United | HeritageSelect | $341 |
| Aetna | COMM | $459 |
| Aetna | NewBusiness | $459 |
| BCBS | BlueCare | $513 |
| Kentucky Labor Cabinet | WORKERSCOMP | $3,317 |
| NHC Advantage, Inc. | MCRHMO | $3,423 |
| Pruitt Health (AllyAlign) | MCR | $3,423 |
| United | OptionsPPO | $4,054 |
| Humana | TRICARE | $4,504 |
| Cigna | PPO | $5,874 |
| United | GlobalBenefitPlan | $8,108 |
| Aetna | NAP | $9,009 |
| BGFH SingleSource | DIRECTNETWORK | $9,009 |
| Employers Health Network | COMM | $12,613 |
| Multiplan | COMM | $14,775 |
| BGFH SingleSource | LEASEDNETWORK | $15,315 |
| Beech Street | COMM | $15,856 |
| Prime Health | COMMPPO | $15,856 |
| TriWest Healthcare | FED | $17,658 |
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