CT abdomen and pelvis with contrast at Summit Medical Center. CPT 74177.
What Summit Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$17,166cash price (self-pay)
$17,166list price
$276–$15,106range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Tenncare | $276 |
| BCBS | Coverkids | $299 |
| United | AllPayerAppendix | $341 |
| United | Core | $341 |
| United | HeritageSelect | $341 |
| Aetna | COMM | $459 |
| Aetna | NewBusiness | $459 |
| BCBS | BlueCare | $513 |
| Kentucky Labor Cabinet | WORKERSCOMP | $3,160 |
| Apex Health | MCR | $3,261 |
| NHC Advantage, Inc. | MCRHMO | $3,261 |
| Pruitt Health (AllyAlign) | MCR | $3,261 |
| Humana | TRICARE | $4,291 |
| United | OptionsPPO | $4,360 |
| Cigna | PPO | $5,596 |
| United | GlobalBenefitPlan | $7,724 |
| Aetna | NAP | $8,583 |
| BGFH SingleSource | DIRECTNETWORK | $8,583 |
| Multiplan | COMM | $11,158 |
| Employers Health Network | COMM | $12,016 |
| Cigna Evernorth Behavioral Health | COMM | $13,732 |
| ComPsych | COMM | $13,732 |
| BGFH SingleSource | LEASEDNETWORK | $14,591 |
| Beech Street | COMM | $15,106 |
| Prime Health | COMMPPO | $15,106 |
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