CT abdomen and pelvis with contrast at Hca Florida Mercy Hospital. CPT 74177.
What Hca Florida Mercy Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$26,903cash price (self-pay)
$26,903list price
$626–$32,284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $626 |
| Aetna | QHP | $809 |
| AvMed | HIX | $879 |
| Aetna | HMO | $1,061 |
| Aetna | HMO-Gated | $1,117 |
| Aetna | PPO | $1,462 |
| Aetna | PPO-NonGated | $1,539 |
| AvMed | FullyInsured | $2,225 |
| Freedom Health | MGMCR | $2,314 |
| Optimum | MGMCR | $2,314 |
| AvMed | ASOEO | $2,469 |
| Simply Healthcare Plans | MGMCR | $3,497 |
| Freedom Health | MGMCD | $4,304 |
| CorVel Corporation | WORKERSCOMP | $4,939 |
| CareWorks (Rockport) | WORKERSCOMP | $5,043 |
| Prime Health | WORKERSCOMP | $5,043 |
| Molina | MCR | $5,112 |
| Health Sun Health Plan | MGMCR | $5,730 |
| AIDS Healthcare | MGMCR | $5,919 |
| MMM of FL (Health Advantage Plan) | MCR | $6,188 |
| United PPO | OptionsPPO | $6,188 |
| Sunshine State Health Plan | QHP | $6,995 |
| AvMed | Empower | $7,264 |
| AvMed | Engage | $7,264 |
| AvMed | Flex | $7,264 |
| AvMed | Focus | $7,264 |
| AvMed | Select | $7,264 |
| Molina | HIX | $7,264 |
| Aetna | ASA | $8,071 |
| United | GlobalBenefitPlanAppendix | $12,106 |
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