CT abdomen and pelvis with contrast at Doctors Memorial Hospital. CPT 74177.
What Doctors Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 14, 2026.
Outpatient / ER
$400cash price (self-pay)
$1,705list price
$287–$1,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana_commercial | Commercial | $287 |
| Aetna_medicare | Medicare | $546 |
| Bcbs_medicare | Medicare | $546 |
| Humana_medicare | Medicare | $546 |
| Medicare | Medicare | $546 |
| Staywell_medicare | Medicare | $546 |
| Sunshine | Medicare | $546 |
| Uhc_medicare | Medicare | $546 |
| Uhc_va_ccn | Medicare | $546 |
| Aetna | Commercial | $860 |
| Cigna | Commercial | $1,023 |
| UHC | Commercial | $1,194 |
| Bcbs_network_blue | Commercial | $1,240 |
| Bcbs_phs | Commercial | $1,240 |
| Bcbs_ppo | Commercial | $1,240 |
| Multiplan | Commercial | $1,449 |
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