CT abdomen and pelvis with contrast at Hca Florida West Marion Hospital. CPT 74177.
What Hca Florida West Marion Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$13,071cash price (self-pay)
$13,594list price
$828–$12,705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| AvMed | HIX | $890 |
| Aetna | QHP | $968 |
| Aetna | HMO | $1,266 |
| Aetna | PPO | $1,266 |
| Aetna | HMO/PPO | $1,332 |
| AvMed | HMOFI | $1,780 |
| AvMed | ASOEO | $1,975 |
| Simply | MGMCR | $2,093 |
| United | OptionsPPO | $2,365 |
| Molina Healthcare | MGMCR | $2,583 |
| Sunshine State Health Plan | QHP | $3,466 |
| Aetna | ASA | $4,078 |
| CorVel Corporation | WORKERSCOMP | $4,321 |
| Molina Healthcare | HIX | $4,350 |
| Prime Health | WC | $4,412 |
| Careworks (Rockport Community) | WORKERSCOMP | $4,548 |
| Marion County Schools | WC | $4,548 |
| United | GlobalBenefitPlan | $6,117 |
| Plotkin Health | COMM | $6,797 |
| Prime Health Sheriff | COMM | $6,797 |
| Prime Health Sheriff | WORKERSCOMP | $6,797 |
| Multiplan | Primary | $10,603 |
| PPO Next | COMM | $11,555 |
| PPO Next | PPO | $11,555 |
| NovaNet | COMM | $12,234 |
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