CT abdomen and pelvis with contrast at Hca Florida North Florida Hospital. CPT 74177.
What Hca Florida North Florida Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$29,324cash price (self-pay)
$29,324list price
$828–$29,324range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| AvMed | HIX | $857 |
| Aetna | QHP | $968 |
| Aetna | HMO | $1,266 |
| Aetna | PPO | $1,266 |
| Aetna | HMO/PPO | $1,332 |
| AvMed | HMOFI | $1,780 |
| AvMed | ASOEO | $1,975 |
| Simply | MGMCR | $4,516 |
| CorVel Corporation | WORKERSCOMP | $4,786 |
| Prime Health | WC | $4,886 |
| Careworks (Rockport Community) | WORKERSCOMP | $5,037 |
| Molina Healthcare | MGMCR | $5,571 |
| Sunshine State Health Plan | QHP | $7,478 |
| United | OptionsPPO | $8,445 |
| Aetna | ASA | $8,797 |
| Molina Healthcare | HIX | $9,384 |
| United | GlobalBenefitPlan | $13,196 |
| AvMed | HIXOON | $14,662 |
| Plotkin Health | COMM | $14,662 |
| Prime Health Sheriff | COMM | $14,662 |
| Prime Health Sheriff | WORKERSCOMP | $14,662 |
| Corizon PHS | Prison | $17,594 |
| Multiplan | Primary | $22,872 |
| Evernorth | BHCOMM | $23,459 |
| Multiplan | Complementary | $24,925 |
| PPO Next | COMM | $24,925 |
| PPO Next | PPO | $24,925 |
| NovaNet | COMM | $26,391 |
| Beacon Health Options | MCR | $29,324 |
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