CT abdomen and pelvis with contrast at The William W. Backus Hospital. CPT 74177.
What The William W. Backus Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,778cash price (self-pay)
$2,778list price
$143–$998range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Anthem Medicare | $143 |
| Health New England | Health New England Medicare | $143 |
| MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $143 |
| Tufts | Tufts Medicare | $143 |
| United | United Medicare | $143 |
| Wellcare | Wellcare Medicare | $145 |
| Aetna | Aetna Medicare | $146 |
| United | United Managed Care | $586 |
| Cigna | Cigna Managed Care | $592 |
| Anthem | Anthem Individual | $656 |
| Anthem | Anthem Managed Care | $875 |
| Aetna | Aetna Managed Care - Middlesex Only | $881 |
| MOLINA dba CONNECTICARE | MOLINA EXCHANGE/MARKETPLACE | $923 |
| Aetna | Aetna Managed Care | $928 |
| Aetna | Aetna Signature Administrators | $928 |
| MOLINA dba CONNECTICARE | MOLINA MANAGED CARE | $998 |
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