CT abdomen and pelvis with contrast at Hardeman County Memorial Hospital. CPT 74177.
What Hardeman County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 8, 2026.
Outpatient / ER
$1,168cash price (self-pay)
$1,168list price
$759–$1,168range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Sheild | Traditional Indemnity | $759 |
| Blue Cross Blue Sheild | PPO/POS Network | $759 |
| Blue Cross Blue Sheild | Essentials Network | $759 |
| Blue Cross Blue Sheild | Advantage HMO Network | $759 |
| FirstCare | Commercial | $876 |
| Cigna HealthCare of Texas Inc. | Commercial | $876 |
| Texas True Choice | Commercial | $876 |
| FirstCare | Medicare Advantage | $923 |
| Aetna Health Inc. | Medicare Advantage | $923 |
| United HealthCare | Medicare Advantage | $923 |
| USA MCO | Medicare Advantage | $923 |
| Humana | Medicare Advantage | $932 |
| United HealthCare | Commercial | $1,051 |
| FirstCare | Managed Medicaid | $1,168 |
| Multiplan | Managed Medicaid | $1,168 |
| Superior Healthplan Inc. | Managed Medicaid | $1,168 |
| United HealthCare | Managed Medicaid | $1,168 |
| Texas True Choice | Managed Medicaid | $1,168 |
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