CT abdomen and pelvis with contrast at Larkin Community Hospital Behavioral Health Services. CPT 74177.
What Larkin Community Hospital Behavioral Health Services publishes for this service, straight from its standard-charges file, last updated December 16, 2025.
Outpatient / ER
$93.32cash price (self-pay)
$9,929list price
$90.20–$10,707range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Care Plan-All Plans | Community Care Plan-All Plans | $133 |
| Fcc Medicaid | Fcc Medicaid | $203 |
| Bsn Medicaid-All Plans | Bsn Medicaid-All Plans | $203 |
| Miami Childrens Hp-All Plans | Miami Childrens Hp-All Plans | $203 |
| Sunshine Behav Mcaid | Sunshine Behav Mcaid | $203 |
| Bright Hlth Mcr Adv | Bright Hlth Mcr Adv | $357 |
| Bright Hlth Comm - All Other Plans | Bright Hlth Comm - All Other Plan | $375 |
| Magellan Healthcare-All Plans | Magellan Healthcare-All Plans | $5,957 |
| Cigna Behav - All Plans | Cigna Behav - All Plans | $6,950 |
| Longevity Mcr Adv-All Plans | Longevity Mcr Adv-All Plans | $9,310 |
| Sunshine Behav Comm - All Other Plans | Sunshine Behav Comm - All Othe | $9,310 |
| Clear Spring Health-All Plans | Clear Spring Health-All Plans | $9,776 |
| Aetna - All Other Plans | Aetna - All Other Plans | $9,929 |
| Aetna Mcr Adv | Aetna Mcr Adv | $9,929 |
| Hma Mcr Adv | Hma Mcr Adv | $10,707 |
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All common services at Larkin Community Hospital Behavioral Health Services