CT abdomen and pelvis with contrast at Jay Hospital. CPT 74177.
What Jay Hospital publishes for this service, straight from its standard-charges file, last updated December 23, 2025.
Outpatient / ER
$255cash price (self-pay)
$1,700list price
$78.87–$4,077range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Better Hlthy Kids | $206 |
| Cha Health Plan | HMO | $206 |
| Simply Healthcare Healthy Kids | All Products | $206 |
| Humana | Medicaid HMO | $216 |
| Staywell | All Products | $216 |
| Sunshine Health | Caid HMO | $216 |
| Wellcare | Mcare HMO Dual Plan | $226 |
| Wellcare | Mcare HMO | $226 |
| UHC Community | Mcaid HMO | $316 |
| FL Community Care Ltc | Mcaid | $338 |
| Bc FL Medicare PPO | All Products | $354 |
| Humana | Gold Plus HMO | $366 |
| Humana | HMO Snp Dual Pln | $366 |
| Humana | Gold Choice Pffs | $366 |
| Aetna | Medicare | $374 |
| Bc FL | Medicare HMO | $374 |
| Humana | Mcare Choice PPO | $374 |
| UHC | Mcare Adv Pln | $374 |
| UHC | Mcare Adv Dual Plan | $374 |
| FL Blue | Truli For Health | $753 |
| Aetna | Aetna | $811 |
| FL Blue | My Blue Network | $829 |
| Hospice Emerald Coast | All Products | $850 |
| Hospice Regency | All Products | $850 |
| Hospice Vitas | All Products | $850 |
| Cigna/Great West | PPO | $944 |
| Cigna/Great West | Open Access | $962 |
| FL Blue | Simply Blue Network | $1,042 |
| FL Blue | Blue Select | $1,042 |
| Private Healthcare | PPO | $1,105 |
Inpatient
$255cash price (self-pay)
$1,700list price
$374–$1,700range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wc Corvel | PPO | $1,615 |
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