CT abdomen and pelvis with contrast at Hca Florida Raulerson Hospital. CPT 74177.
What Hca Florida Raulerson Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$21,100cash price (self-pay)
$21,100list price
$626–$17,935range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $626 |
| AvMed | HIX | $926 |
| Aetna | QHP | $1,087 |
| Aetna | HMO | $1,326 |
| Aetna | HMO-Gated | $1,396 |
| Aetna | PPO | $1,462 |
| Aetna | PPO-NonGated | $1,539 |
| Freedom Health | MGMCR | $1,815 |
| Optimum | MGMCR | $1,815 |
| Simply Healthcare Plans | MGMCR | $2,743 |
| AvMed | Empower | $3,710 |
| AvMed | Engage | $3,710 |
| AvMed | Flex | $3,710 |
| AvMed | Focus | $3,710 |
| AvMed | FullyInsured | $3,710 |
| AvMed | Select | $3,710 |
| Molina | MCR | $4,009 |
| AvMed | ASOEO | $4,112 |
| CorVel Corporation | WORKERSCOMP | $4,263 |
| CareWorks (Rockport) | WORKERSCOMP | $4,353 |
| Prime Health | WORKERSCOMP | $4,353 |
| Health Sun Health Plan | MGMCR | $4,494 |
| Sunshine State Health Plan | QHP | $5,381 |
| Molina | HIX | $5,697 |
| Aetna | ASA | $6,330 |
| United PPO | OptionsPPO | $9,031 |
| AmeriHealth Caritas | HIX | $9,284 |
| United | GlobalBenefitPlanAppendix | $9,495 |
| AvMed | JacksonFirstNetworkOON | $10,550 |
| Plotkin Health | COMM | $10,550 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.