CT abdomen and pelvis with contrast at Nemours Children's Hospital. CPT 74177.
What Nemours Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 10, 2026.
Outpatient / ER
$2,315cash price (self-pay)
$2,315list price
$122–$2,199range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Us Family Health Plan | Tricare | $122 |
| Tricare | Tricare | $374 |
| Keystone First Hlth Plan | Medicaid HMO | $462 |
| Amerihealth Caritas Delaware | Medicaid HMO/Chip | $709 |
| Celtic Transplant For De First Health | Commercial | $810 |
| UHC Community Plan Of Pa | Medicaid HMO | $850 |
| Wellpoint Maryland | Medicaid HMO | $857 |
| Kidz Partners | Chip | $876 |
| Health Partners | Medicaid HMO | $898 |
| Upmc | Medicaid HMO/Chip | $917 |
| Aetna Better Health Pennsylvania | Chip | $982 |
| Keystone First Hlth Plan | Chip | $1,001 |
| Independence Blue Cross | Commercial | $1,016 |
| Highmark BCBS Of Delaware | Commercial | $1,036 |
| Six Degrees Health Transplant | Commercial | $1,158 |
| Cigna Lifesource Transplant | Commercial | $1,296 |
| Aetna | HMO | $1,320 |
| Celtic Transplant For Ambetter Exchange | Commercial | $1,320 |
| Amerihealth Caritas Delaware | Commercial | $1,320 |
| Ambetter Health Of De | Commercial | $1,320 |
| Aetna | PPO | $1,320 |
| Aetna | Indemnity | $1,343 |
| Geisinger Health Plan | Commercial | $1,389 |
| Integra Administrative Group | Commercial | $1,389 |
| UHC Of Mid-Atlantic | Commercial | $1,445 |
| Cigna Healthcare | All | $1,458 |
| Great West-One Health Plan | Commercial | $1,458 |
| National Transplant Network (Ntn) | Commercial | $1,505 |
| Star Healthcare Network | Commercial | $1,505 |
| Six Degrees Health | Commercial | $1,505 |
Inpatient
$2,315cash price (self-pay)
$2,315list price
$1,024–$2,315range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First Hlth Plan | Chip | $1,024 |
| Aetna Better Health Pennsylvania | Chip | $1,036 |
| Independence Blue Cross | Commercial | $1,039 |
| Cigna Healthcare | All | $1,273 |
| Great West-One Health Plan | Commercial | $1,273 |
| Highmark BCBS Of Delaware | Commercial | $1,279 |
| Aetna | HMO | $1,343 |
| Aetna | PPO | $1,343 |
| Celtic Transplant | Commercial | $2,315 |
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