CT abdomen and pelvis with contrast at BayCare Alliant Hospital. CPT 74177.
What BayCare Alliant Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$4,532cash price (self-pay)
$7,553list price
$209–$7,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Clear Health Alliance | Medicaid HMO | $209 |
| United Healthcare | Medicaid HMO | $211 |
| Humana | Medicaid HMO | $215 |
| Molina Healthcare | Medicaid HMO | $217 |
| Simply HealthCare | Medicaid HMO | $217 |
| Sunshine Health | Medicaid HMO | $217 |
| Freedom Health | Medicaid HMO | $217 |
| Aetna | Medicaid HMO | $221 |
| Florida Community Care | Medicaid HMO | $228 |
| Evolutions | Commercial Prime Network Products | $3,777 |
| United Healthcare | Indemnity | $4,909 |
| Evolutions | Commercial PPO International | $5,287 |
| Evolutions | Commercial PPO Select Network | $6,420 |
| First Health | Commercial PPO | $6,420 |
| Multiplan | Commercial PPO | $6,798 |
| Evolutions | Commercial PPO Choice | $7,024 |
| Blue Cross | Commercial HMO Health Options | $7,553 |
| Blue Cross | Commercial HMO My Blue | $7,553 |
| Blue Cross | Commercial HMO Simply Blue | $7,553 |
| Blue Cross | Commercial PPO Blue Select | $7,553 |
| Blue Cross | Commercial PPO Network Blue | $7,553 |
| Blue Cross | Commercial PPO PHS | $7,553 |
Inpatient
$4,532cash price (self-pay)
$7,553list price
$4,909–$7,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial PPO | $4,909 |
| United Healthcare | Indemnity | $4,909 |
| AvMed | Commercial Other | $5,212 |
| Evolutions | Commercial PPO International | $5,287 |
| AvMed | Commercial | $5,438 |
| Evolutions | Commercial PPO Select Network | $6,420 |
| First Health | Commercial PPO | $6,420 |
| Multiplan | Commercial PPO | $6,798 |
| Evolutions | Commercial PPO Choice | $7,024 |
| Cigna | Commercial PPO | $7,553 |
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