CT abdomen and pelvis with contrast at Doctors Hospital. CPT 74177.
What Doctors Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$5,964cash price (self-pay)
$9,176list price
$197–$9,176range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Amerigroup | $197 |
| Medicaid | Simplyhlth Md HMO Nc | $197 |
| Aetna | Aetna Better Health Healthy Kids | $213 |
| Aetna | Aetna Better Health Medicaid | $213 |
| Medicaid | Prestige Md HMO Nc | $217 |
| Medicare | Simplyhlth Mc HMO Nc | $364 |
| Blue Cross | BCBS Medicare PPO | $377 |
| Medica Health Plan | Medica Mcr HMO | $390 |
| Humana | Careplus Mc HMO | $397 |
| Humana | Humana Medicare | $397 |
| Avmed | Avmed Medicare | $401 |
| Medicare Managed Care | Doctors Healthcare Mc HMO | $401 |
| Aetna | Aetna Medicare | $408 |
| Leon Medical | Leon Health Mc HMO | $408 |
| Leon Medical | Leon Med Mc HMO Nc | $408 |
| Cigna | Cigna Medicare Advantage | $415 |
| Medicare | Devoted Health Mc HMO | $492 |
| Blue Cross | My Blue Ex | $1,606 |
| Avmed | Avmed Entrust | $3,276 |
| Aetna | Aetna HMO Exchange | $3,487 |
| Cigna | Cigna Connect Network Exchange | $3,487 |
| Avmed | Avmed Individual | $3,725 |
| Avmed | Avmed HMO | $3,817 |
| Blue Cross | Blue Select | $3,854 |
| Blue Cross | BCBS FL Simplyblue HMO | $4,047 |
| Amerihealth | Amerihth Caritas Nxt Ex | $4,129 |
| Avmed | Avmed PPO | $4,542 |
| Aetna | Aetna HMO | $4,680 |
| Aetna | Aetna Tier 2 | $4,680 |
| Cigna | Cigna HMO | $4,772 |
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