CT abdomen and pelvis with contrast at Unity Health - White County Medical Center. CPT 74177.
What Unity Health - White County Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,380cash price (self-pay)
$5,520list price
$318–$721range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $318 |
| Allwell | Medicare Advantage | $321 |
| Cigna Healthspring | Medicare Advantage | $330 |
| Blue Cross | Blue Advantage | $367 |
| Blue Cross | Health Advantage HMO | $367 |
| Blue Cross | Metallic Exchange Based Product | $367 |
| Blue Cross | PPO | $367 |
| Blue Cross | True Blue PPO | $367 |
| Ambetter | All Plans | $461 |
| United Healthcare | Commercial | $589 |
| Cigna | Commercial | $721 |
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All common services at Unity Health - White County Medical Center