CT abdomen and pelvis with contrast at Hca Florida Memorial Hospital. CPT 74177.
What Hca Florida Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$15,409cash price (self-pay)
$15,409list price
$828–$13,868range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| AvMed | HIX | $858 |
| Aetna | HMO | $922 |
| Aetna | PPO | $922 |
| Optimum Healthcare | MGMCR | $1,294 |
| AvMed | HMOFI | $1,781 |
| United | OptionsPPO | $1,972 |
| AvMed | ASOEO | $1,975 |
| Simply Healthcare | MGMCR | $2,373 |
| Aetna | QHP | $2,650 |
| Positive Healthcare | MCR | $3,390 |
| Sunshine State Health Plan | QHP | $3,929 |
| Molina Healthcare | HIX | $4,160 |
| City of Jacksonville | WC | $4,530 |
| CorVel Corporation | WORKERSCOMP | $4,530 |
| Aetna | ASA | $4,623 |
| Prime Health | WORKERSCOMP | $4,625 |
| AmeriHealth Caritas | HIX | $6,780 |
| United | GlobalBenefitPlanAppendix | $6,934 |
| Plotkin Health | COMM | $7,705 |
| MultiPlan | PRIMARYNETWORK | $12,019 |
| Evernorth | COMM | $12,327 |
| Evolutions Healthcare | MANAGEDCAREPPO | $12,327 |
| Evolutions Healthcare | TRADITIONALPPO | $13,098 |
| MultiPlan | COMPLEMENTARYNETWORK | $13,098 |
| PPO Next | COMM | $13,098 |
| PPO Next | PPO | $13,098 |
| NovaNet | COMM | $13,868 |
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