CT abdomen and pelvis with contrast at Southern Hills Medical Center. CPT 74177.
What Southern Hills Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$13,985cash price (self-pay)
$13,985list price
$307–$12,307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Tenncare | $307 |
| BCBS | Coverkids | $332 |
| United | AllPayerAppendix | $341 |
| United | Core | $341 |
| United | HeritageSelect | $341 |
| Aetna | COMM | $459 |
| Aetna | NewBusiness | $459 |
| BCBS | BlueCare | $513 |
| Kentucky Labor Cabinet | WORKERSCOMP | $2,575 |
| Apex Health | MCR | $2,657 |
| NHC Advantage, Inc. | MCRHMO | $2,657 |
| Pruitt Health (AllyAlign) | MCR | $2,657 |
| Humana | TRICARE | $3,496 |
| United | OptionsPPO | $4,042 |
| Cigna | PPO | $4,559 |
| United | GlobalBenefitPlan | $6,293 |
| Aetna | NAP | $6,992 |
| BGFH SingleSource | DIRECTNETWORK | $6,992 |
| Multiplan | COMM | $8,111 |
| Employers Health Network | COMM | $9,789 |
| BGFH SingleSource | LEASEDNETWORK | $11,887 |
| Beech Street | COMM | $12,307 |
| Prime Health | COMMPPO | $12,307 |
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