CT abdomen and pelvis with contrast at Holy Cross Hospital. CPT 74177.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$6,994cash price (self-pay)
$10,760list price
$238–$10,760range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Care Partners | Preferred Care Partners Medicare Adv HMO | $357 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $357 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $357 |
| Simply Healthcare Medicare Advantage | Simply Healthcare Medicare Adva | $364 |
| Coventry Medicare Advantage | Coventry Medicare Advantage | $364 |
| Oscar Medicare Advantage | Oscar Medicare Advantage | $364 |
| Freedom Health Medicare Advantage | Freedom Health Medicare Advantage | $364 |
| Blue Cross - FL Medicare Advantage | BCBS Medicare Advantage | $364 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $368 |
| Healthsun Medicare Advantage | Healthsun Medicare Advantage | $375 |
| Wellcare Medicare | Wellcare Medicare Advantage | $375 |
| Gold Kidney Medicare | Multiplan Medicare Advantage | $375 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $383 |
| Solis Health Plans | Solis Health Plans | $383 |
| Mvp | Cigna HMO/PPO | $1,128 |
| Blue Cross - Wv (Highmark) | BCBS Ppc | $1,839 |
| Blue Shield - Id (Regence) | BCBS Ppc | $1,839 |
| Blue Cross - Ky (Anthem) | BCBS Ppc | $1,839 |
| Blue Care Network | BCBS Ppc | $1,839 |
| Blue Cross - Mt | BCBS Ppc | $1,839 |
| Blue Cross - Nj (Horizon) | BCBS Ppc | $1,839 |
| Blue Cross - Ak (Premera) | BCBS Ppc | $1,839 |
| Blue Cross - Nh (Anthem) | BCBS Ppc | $1,839 |
| Blue Cross - Al | BCBS Ppc | $1,839 |
| Health Choices | BCBS Ppc | $1,839 |
| Blue Cross - Az | BCBS Ppc | $1,839 |
| Blue Cross - Nv (Anthem) | BCBS Ppc | $1,839 |
| Blue Cross - Ms | BCBS Ppc | $1,839 |
| Blue Cross - Ne | BCBS Ppc | $1,839 |
| Blue Cross - Sd (Wellmark) | BCBS Ppc | $1,839 |
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