CT abdomen and pelvis with contrast at Hca Florida Capital Hospital. CPT 74177.
What Hca Florida Capital Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$10,626cash price (self-pay)
$10,694list price
$828–$10,762range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Aetna | QHP | $1,258 |
| Simply | MGMCR | $1,647 |
| AvMed | HMOFI | $1,780 |
| Aetna | HMO | $1,888 |
| Aetna | PPO | $1,888 |
| AvMed | ASOEO | $1,975 |
| Aetna | HMO/PPO | $1,987 |
| Molina Healthcare | MGMCR | $2,032 |
| United | OptionsPPO | $2,171 |
| Sunshine State Health Plan | QHP | $2,727 |
| Aetna | ASA | $3,208 |
| Molina Healthcare | HIX | $3,422 |
| CorVel Corporation | WORKERSCOMP | $4,215 |
| Prime Health | WC | $4,303 |
| Careworks (Rockport Community) | WORKERSCOMP | $4,436 |
| United | GlobalBenefitPlan | $4,812 |
| AvMed | HIXOON | $5,347 |
| Plotkin Health | COMM | $5,347 |
| Prime Health Sheriff | COMM | $5,347 |
| Prime Health Sheriff | WORKERSCOMP | $5,347 |
| Multiplan | Primary | $8,341 |
| Evernorth | BHCOMM | $8,555 |
| Evolutions Healthcare | TRADITIONALPPO | $9,090 |
| Multiplan | Complementary | $9,090 |
| PPO Next | COMM | $9,090 |
| PPO Next | PPO | $9,090 |
| NovaNet | COMM | $9,624 |
| Beacon Health Options | MCR | $10,694 |
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