CT abdomen and pelvis with contrast at South Peninsula Hospital. CPT 74177.
What South Peninsula Hospital publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$680cash price (self-pay)
$3,707list price
$170–$6,376range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Liberty Healthshare - All Plans | Liberty Healthshare - All Plans | $2,362 |
| UHC Comm - All Plans | UHC Comm - All Plans | $3,134 |
| Aetna - All Plans | Aetna - All Plans | $3,151 |
| Premera First - All Plans | Premera First - All Plans | $3,220 |
| BCBS Comm - All Plans | BCBS Comm - All Plans | $3,253 |
| Geha - All Plans | Geha - All Plans | $3,336 |
| Meritain - All Plans | Meritain - All Plans | $3,336 |
| Teamsters Emply - All Plans | Teamsters Emply - All Plans | $3,336 |
| Ufcw - All Plans | Ufcw - All Plans | $3,336 |
| Cigna - All Plans | Cigna - All Plans | $3,521 |
| Multiplan Phcs - All Plans | Multiplan Phcs - All Plans | $3,521 |
| Pmcs - All Plans | Pmcs - All Plans | $3,521 |
| Great West - All Plans | Great West - All Plans | $3,521 |
| Moda - All Plans | Moda - All Plans | $3,521 |
| First Choice Health - All Plans | First Choice Health - All Plans | $3,633 |
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