CT abdomen and pelvis with contrast at Hca Florida Orange Park Hospital. CPT 74177.
What Hca Florida Orange Park Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$11,217cash price (self-pay)
$11,217list price
$828–$10,096range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| AvMed | HIX | $858 |
| Aetna | HMO | $922 |
| Aetna | PPO | $922 |
| Optimum Healthcare | MGMCR | $942 |
| United | OptionsPPO | $1,346 |
| Simply Healthcare | MGMCR | $1,727 |
| AvMed | HMOFI | $1,781 |
| Aetna | QHP | $1,929 |
| AvMed | ASOEO | $1,975 |
| Positive Healthcare | MCR | $2,468 |
| Sunshine State Health Plan | QHP | $2,860 |
| Aetna | ASA | $3,365 |
| Molina Healthcare | HIX | $3,590 |
| CorVel Corporation | WORKERSCOMP | $4,530 |
| Prime Health | WORKERSCOMP | $4,625 |
| AmeriHealth Caritas | HIX | $4,936 |
| MD Medicare Choice | MCRHMO | $5,048 |
| United | GlobalBenefitPlanAppendix | $5,048 |
| Plotkin Health | COMM | $5,609 |
| MultiPlan | PRIMARYNETWORK | $8,750 |
| Evernorth | COMM | $8,974 |
| Evolutions Healthcare | MANAGEDCAREPPO | $8,974 |
| Evolutions Healthcare | TRADITIONALPPO | $9,535 |
| MultiPlan | COMPLEMENTARYNETWORK | $9,535 |
| PPO Next | COMM | $9,535 |
| PPO Next | PPO | $9,535 |
| NovaNet | COMM | $10,096 |
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