CT abdomen and pelvis with contrast at cleveland clinic florida weston hospital. CPT 74177.
What cleveland clinic florida weston hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$521cash price (self-pay)
$3,080list price
$74.13–$3,881range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Optum | Managed Medicaid | $176 |
| AETNA | Aetna Signature Administrators | $234 |
| AETNA | Managed Medicaid/CHIP | $248 |
| Doctors Health Plan | All Products | $257 |
| Avmed | Medicare Advantage | $265 |
| Blue Cross | Medicare Advantage HMO | $265 |
| Blue Cross | Medicare Advantage PPO | $265 |
| United | Medicare Advantage | $265 |
| Wellcare | Medicare Advantage | $265 |
| Blue Cross | Health Options | $266 |
| Independent Living Systems | Medicare Advantage | $270 |
| Clear Spring Health | All Products | $286 |
| Doctors Health Plan | HMO & PPO | $300 |
| Aetna | All Products Anesthesia | $307 |
| Aetna | Medicare Advantage PCP | $328 |
| Blue Cross | Network Blue | $333 |
| Blue Cross | Perferred Patient Care | $333 |
| Blue Cross | Traditional (PPS) | $333 |
| Aetna | Medicare Advantage Specialist | $333 |
| United | All Products | $346 |
| Avmed | Exchange | $351 |
| Avmed | Select | $364 |
| Aetna | Medicare Advantage | $364 |
| Avmed | Broad | $391 |
| Maritime | All Products | $970 |
| Multiplan | All Products | $970 |
| AETNA | International Passport to Healthcare Svcs | $1,204 |
| Aetna | All Products | $1,210 |
| Clarity Health | All Products | $1,261 |
| The Legacy Companies | All Products | $1,261 |
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All common services at cleveland clinic florida weston hospital