CT abdomen and pelvis with contrast at Westerly Hospital. CPT 74177.
What Westerly Hospital publishes for this service, straight from its standard-charges file, last updated September 19, 2026.
Outpatient / ER
$792cash price (self-pay)
$2,201list price
$68.77–$1,645range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Great West Network | All Plans | $198 |
| Medicare Advantage - Anthem | All Plans | $287 |
| Medicare Advantage - UHC | All Plans | $312 |
| Cigna | All Plans | $316 |
| Medicare Advantage - Aetna | All Plans | $371 |
| Medicare Advantage - Wellcare | All Plans | $375 |
| Medicare Advantage - CtCare | All Plans | $414 |
| Optum | All Plans | $484 |
| Tufts Health Plan | All Plans | $544 |
| Oxford | All Plans | $577 |
| Anthem | All Plans | $615 |
| UHC | All Plans | $618 |
| Create Alliance | All Plans | $792 |
| Advanced Medical Pricing Solutions (AMPS) | All Plans | $792 |
| ClaimDOC | All Plans | $792 |
| MultiPlan | All Plans | $969 |
| Champus | All Plans | $1,295 |
| CtCare | All Plans | $1,329 |
| Aetna | All Plans | $1,411 |
| Harvard Pilgrim | All Plans | $1,645 |
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