CT abdomen and pelvis with contrast at Hca Florida West Hospital. CPT 74177.
What Hca Florida West Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$18,532cash price (self-pay)
$18,532list price
$828–$18,532range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Aetna | QHP | $1,258 |
| AvMed | HMOFI | $1,780 |
| Aetna | HMO | $1,888 |
| Aetna | PPO | $1,888 |
| AvMed | ASOEO | $1,975 |
| Aetna | HMO/PPO | $1,987 |
| Freedom Health | MCR | $2,354 |
| Simply | MGMCR | $2,854 |
| Molina Healthcare | MGMCR | $3,521 |
| United | OptionsPPO | $3,984 |
| CorVel Corporation | WORKERSCOMP | $4,354 |
| Prime Health | WC | $4,446 |
| Careworks (Rockport Community) | WORKERSCOMP | $4,584 |
| Sunshine State Health Plan | QHP | $4,726 |
| Aetna | ASA | $5,560 |
| Molina Healthcare | HIX | $5,930 |
| United | GlobalBenefitPlan | $8,340 |
| AvMed | HIXOON | $9,266 |
| Plotkin Health | COMM | $9,266 |
| Prime Health Sheriff | COMM | $9,266 |
| Prime Health Sheriff | WORKERSCOMP | $9,266 |
| Evolutions Healthcare | MANAGEDCAREPPO | $12,046 |
| Multiplan | Primary | $14,455 |
| Evernorth | BHCOMM | $14,826 |
| Evolutions Healthcare | TRADITIONALPPO | $15,753 |
| Multiplan | Complementary | $15,753 |
| PPO Next | COMM | $15,753 |
| PPO Next | PPO | $15,753 |
| NovaNet | COMM | $16,679 |
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