CT abdomen and pelvis with contrast at Tulsa Spine & Specialty Hospital. CPT 74177.
What Tulsa Spine & Specialty Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$899cash price (self-pay)
$3,596list price
$178–$2,223range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lucent Health [6000] | Lucent Health [600000] | $899 |
| Oscar Insurance Company [7005] | Oscar Insurance Company [700500] | $899 |
| Osma Health Network [2345] | Osma Health [234500] | $899 |
| Black Lung [6055] | Black Lung [605500] | $899 |
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $899 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $899 |
| Healthscope Benefits [2290] | Healthscope Ardent [229001] | $930 |
| Umr - Ardent Employee [2036] | Umr - Ardent Employee [203601] | $930 |
| Web Tpa [2115] | Web Tpa Healthcare Highways [211504] | $1,474 |
| Resource One Administrators [2815] | Resource One Administrators [2815 | $1,474 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $1,474 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $1,474 |
| Healthcare Highways [2210] | Health Plans Inc [221008] | $1,474 |
| Universal Fidelity [2085] | Universal Fidelity Life [208500] | $1,474 |
| The Kempton Group Administrators [2905] | Advantage Health Plan-No PPO | $1,618 |
| Multiplan [1680] | Providence Health Plan [168004] | $2,223 |
| Medica [2910] | Medica Quest [291001] | $2,223 |
| First Health [1375] | First Health [137517] | $2,223 |
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