CT abdomen and pelvis with contrast at Hca Florida Northwest Hospital. CPT 74177.
What Hca Florida Northwest Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$17,986cash price (self-pay)
$17,986list price
$626–$15,288range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $626 |
| Aetna | QHP | $769 |
| AvMed | HIX | $926 |
| Aetna | HMO | $1,061 |
| Aetna | HMO-Gated | $1,117 |
| Aetna | PPO | $1,462 |
| Aetna | PPO-NonGated | $1,539 |
| Freedom Health | MGMCR | $1,547 |
| Optimum | MGMCR | $1,547 |
| AvMed | FullyInsured | $2,225 |
| Simply Healthcare Plans | MGMCR | $2,338 |
| AvMed | ASOEO | $2,469 |
| Freedom Health | MGMCD | $2,878 |
| Molina | MCR | $3,417 |
| Health Sun Health Plan | MGMCR | $3,831 |
| MMM of FL (Health Advantage Plan) | MCR | $4,137 |
| United PPO | OptionsPPO | $4,137 |
| Sunshine State Health Plan | QHP | $4,748 |
| AvMed | Empower | $4,856 |
| AvMed | Engage | $4,856 |
| AvMed | Flex | $4,856 |
| AvMed | Focus | $4,856 |
| AvMed | JHSSelect | $4,856 |
| AvMed | MDCSelect | $4,856 |
| AvMed | Select | $4,856 |
| Molina | HIX | $4,856 |
| CorVel Corporation | WORKERSCOMP | $4,980 |
| CareWorks (Rockport) | WORKERSCOMP | $5,085 |
| Prime Health | WORKERSCOMP | $5,085 |
| Aetna | ASA | $5,396 |
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