CT abdomen and pelvis with contrast at Hca Florida Northside Hospital. CPT 74177.
What Hca Florida Northside Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$42,284cash price (self-pay)
$42,284list price
$767–$38,901range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AvMed | HIX | $767 |
| Aetna | GatedCOMM | $1,478 |
| Aetna | NonGatedCOMM | $1,478 |
| AvMed | HMOFI | $1,780 |
| AvMed | ASOEO | $1,975 |
| Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $1,987 |
| Access 2 Healthcare Physicians Freedom Health | MGMCR | $3,044 |
| Optimum Healthcare | MCRHMO | $3,298 |
| Optimum Healthcare | MCRPPO | $3,298 |
| Optimum Healthcare | PFFS | $3,298 |
| CorVel Corporation | WORKERSCOMP | $4,599 |
| Rockport Healthcare Group | WORKERSCOMP | $4,599 |
| Prime Health | WorkersComp | $4,695 |
| Simply Healthcare | MGMCR | $6,512 |
| Aetna | QHP | $6,723 |
| United | OptionsPPO | $6,723 |
| Molina | MGMCR | $8,034 |
| Sunshine State Health Plan | QHP | $10,782 |
| Molina | HIX | $11,417 |
| Humana | HMO | $12,262 |
| Humana | PPO | $12,262 |
| Aetna | ASA | $12,685 |
| AmeriHealth Caritas | HIX | $18,605 |
| United | GlobalBenefitPlanAppendix | $19,028 |
| Plotkin Health | COMM | $21,142 |
| Prime Health Sheriff | COMM | $21,142 |
| Evolutions Healthcare Systems | PRIMENETWORK | $23,256 |
| Multiplan | PRIMARYPPO | $31,713 |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $33,827 |
| Evolutions Healthcare Systems | SELECTNETWORK | $33,827 |
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