CT abdomen and pelvis with contrast at indian river hospital. CPT 74177.
What indian river hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$521cash price (self-pay)
$2,969list price
$79.34–$3,752range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Florida Kidcare | $207 |
| United | Medicare Advantage | $214 |
| Avmed | Medicare Advantage | $221 |
| Blue Cross | Medicare Advantage HMO | $221 |
| Blue Cross | Medicare Advantage PPO | $221 |
| Careplus | Medicare Advantage | $221 |
| Magellan | Medicare Advantage | $221 |
| Value Options | Medicare Advantage | $221 |
| Wellcare | Medicare Advantage | $221 |
| Independent Living Systems | Medicare Advantage | $228 |
| Freedom Health | Medicare Advantage | $232 |
| WellMed | Medicare Advantage | $232 |
| Clear Spring Health | All Products | $239 |
| Blue Cross | Health Options | $245 |
| Blue Cross | Network Blue | $251 |
| Blue Cross | Traditional (PPS) | $257 |
| Blue Cross | Perferred Patient Care | $257 |
| Aetna | Medicare Advantage Behavioral Health | $265 |
| Aetna | Medicare Advantage PCP | $274 |
| Aetna | Medicare Advantage Specialist | $278 |
| United | All Products | $290 |
| Avmed | Exchange | $294 |
| Aetna | POS First Health | $300 |
| Avmed | Select | $305 |
| Aetna | All Products Anesthesia | $307 |
| Avmed | Broad | $328 |
| Aetna | PPO First Health | $425 |
| Clarity Health | All Products | $1,930 |
| The Legacy Companies | All Products | $1,930 |
| Three Rivers | All Products | $1,930 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.