CT abdomen and pelvis with contrast at MedStar Washington Hospital Center. CPT 74177.
What MedStar Washington Hospital Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,224cash price (self-pay)
$4,960list price
$412–$4,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CareFirst Advantage Inc | CareFirst Medicare Advantage | $412 |
| Tricare | Tricare | $412 |
| UnitedHealthcare Insurance Company | Optum VA Community Care | $412 |
| United Healthcare-Ovations | United Secure | $416 |
| Aetna Medicare | Aetna Medicare | $425 |
| Health Care Service Corporation | Health Care Service Corporation | $433 |
| Humana | Humana Medicare Advantage | $433 |
| Kaiser Permanente | Kaiser Medicare Advantage | $433 |
| Kaiser Permanente | Kaiser VA MCO | $607 |
| AmeriGroup | AmeriGroup DC | $693 |
| AmeriHealth Caritas District of Columbia | AmeriHealth | $693 |
| Hscsn | Hscsn | $693 |
| Medstar Family Choice Inc | Medstar Family Choice DC | $693 |
| Medstar Family Choice Inc | Medstar Family Choice MD | $1,389 |
| United Healthcare | UnitedHealthcare Community Plan of Maryland | $1,438 |
| MAMSI | MAMSI MDIPA/Optimum Choice | $1,602 |
| Kaiser Permanente | Kaiser MD MCO | $1,654 |
| United Healthcare | UHC Navigate/Core | $1,688 |
| United Healthcare | United Healthcare All HMO Products | $1,758 |
| United Healthcare | United Healthcare All PPO Products | $1,953 |
| Cigna HealthCare Mid Atlantic | All Cigna HMO | $2,110 |
| Cigna HealthCare MidAtlantic Inc | All Cigna PPO | $2,110 |
| Kaiser Permanente | All Kaiser Commercial | $2,480 |
| Aetna US HealthCare Inc | Aetna All HMO and PPO Plans | $3,174 |
| Pfc | Pfc | $3,224 |
| NCPPO Healthlink PPO | NCPPO | $3,720 |
| Private HealthCare Systems (PHCS) | Private HealthCare Systems (PHCS) | $3,968 |
| First Health | First Health | $4,216 |
| CareFirst Blue Choice Inc | All Carefirst HMO Plans | $4,426 |
| CareFirst Blue Choice Inc | All Carefirst PPO Plans | $4,426 |
Inpatient
$3,224cash price (self-pay)
$4,960list price
$1,438–$4,216range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UnitedHealthcare Community Plan of Maryland | $1,438 |
| Pfc | Pfc | $3,224 |
| NCPPO Healthlink PPO | NCPPO | $3,720 |
| Private HealthCare Systems (PHCS) | Private HealthCare Systems (PHCS) | $3,968 |
| First Health | First Health | $4,216 |
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