CT abdomen and pelvis with contrast at Hca Florida Fort Walton-destin Hospital. CPT 74177.
What Hca Florida Fort Walton-destin Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$35,203cash price (self-pay)
$35,203list price
$828–$35,203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Aetna | QHP | $1,696 |
| AvMed | HMOFI | $1,780 |
| AvMed | ASOEO | $1,975 |
| Aetna | HMO | $2,543 |
| Aetna | PPO | $2,543 |
| Aetna | HMO/PPO | $2,677 |
| CorVel Corporation | WORKERSCOMP | $4,579 |
| Prime Health | WC | $4,676 |
| Careworks (Rockport Community) | WORKERSCOMP | $4,820 |
| Simply | MGMCR | $5,421 |
| Molina Healthcare | MGMCR | $6,689 |
| United | OptionsPPO | $7,252 |
| Sunshine State Health Plan | QHP | $8,977 |
| Aetna | ASA | $10,561 |
| Molina Healthcare | HIX | $11,265 |
| United | GlobalBenefitPlan | $15,841 |
| AvMed | HIXOON | $17,602 |
| Plotkin Health | COMM | $17,602 |
| Prime Health Sheriff | COMM | $17,602 |
| Prime Health Sheriff | WORKERSCOMP | $17,602 |
| Evolutions Healthcare | MANAGEDCAREPPO | $22,882 |
| Naphcare | Prison | $22,882 |
| Multiplan | Primary | $27,458 |
| Evernorth | BHCOMM | $28,162 |
| Multiplan | Complementary | $29,923 |
| PPO Next | COMM | $29,923 |
| PPO Next | PPO | $29,923 |
| Evolutions Healthcare | TRADITIONALPPO | $31,683 |
| NovaNet | COMM | $31,683 |
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All common services at Hca Florida Fort Walton-destin Hospital