CT abdomen and pelvis with contrast at Mariners Hospital. CPT 74177.
What Mariners Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$5,964cash price (self-pay)
$9,176list price
$197–$9,176range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Amerigroup | $197 |
| Medicaid | Simplyhlth Md HMO Nc | $197 |
| Aetna | Aetna Better Health Healthy Kids | $213 |
| Aetna | Aetna Better Health Medicaid | $213 |
| Medicaid | Prestige Md HMO Nc | $217 |
| Blue Cross | My Blue Ex | $1,587 |
| Blue Cross | BCBS Medicare PPO | $1,927 |
| Leon Medical | Leon Health Mc HMO | $1,927 |
| Leon Medical | Leon Med Mc HMO Nc | $1,927 |
| Medica Health Plan | Medica Mcr HMO | $1,927 |
| Humana | Careplus Mc HMO | $2,100 |
| Humana | Humana Medicare | $2,100 |
| Aetna | Aetna Medicare | $2,110 |
| Avmed | Avmed Medicare | $2,120 |
| Cigna | Cigna Medicare Advantage | $2,197 |
| Medicare | Devoted Health Mc HMO | $2,601 |
| Blue Cross | BCBS FL Simplyblue HMO | $5,909 |
| International | International Aetna | $5,964 |
| Avmed | Avmed Entrust | $6,313 |
| Aetna | Aetna HMO Exchange | $6,515 |
| Cigna | Cigna Connect Network Exchange | $6,515 |
| Amerihealth | Amerihth Caritas Nxt Ex | $6,882 |
| Blue Cross | BCBS Ppc Cah | $6,882 |
| Blue Cross | Blue Care HMO | $6,882 |
| Blue Cross | Blue Select | $6,882 |
| Dimension Health Plan | Dimension 2 | $6,882 |
| Aetna | Aetna Catastrophic | $7,341 |
| Aetna | Aetna HMO | $7,341 |
| Aetna | Aetna PPO | $7,341 |
| Aetna | Aetna Tier 2 | $7,341 |
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