CT abdomen and pelvis with contrast at martin north hospital. CPT 74177.
What martin north hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$521cash price (self-pay)
$3,080list price
$66.33–$3,881range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Health Options | $204 |
| Blue Cross | BlueSelect | $204 |
| AETNA | Managed Medicaid/CHIP Behavioral Health | $207 |
| AMERIHEALTH | Managed Medicaid | $213 |
| Avmed | Medicare Advantage | $221 |
| Blue Cross | Medicare Advantage HMO | $221 |
| Blue Cross | Medicare Advantage PPO | $221 |
| Miami Childrens Health Plan | Medicare Advantage | $221 |
| United | Medicare Advantage | $221 |
| Independent Living Systems | Medicare Advantage | $225 |
| Careplus | Medicare Advantage | $232 |
| Freedom Health | Medicare Advantage | $232 |
| Clear Spring Health | All Products | $239 |
| Blue Cross | Network Blue | $247 |
| AETNA | Managed Medicaid/CHIP | $248 |
| Blue Cross | Traditional (PPS) | $255 |
| Blue Cross | Perferred Patient Care | $255 |
| Aetna | Medicare Advantage PCP | $274 |
| Aetna | Medicare Advantage Specialist | $278 |
| United | All Products | $290 |
| Avmed | Exchange | $294 |
| Avmed | Select | $305 |
| Aetna | All Products Anesthesia | $307 |
| Avmed | Broad | $328 |
| Multiplan | All Products | $331 |
| Aetna | Medicare Advantage | $364 |
| Aetna | Qhp | $1,709 |
| AETNA | All Products New Business | $1,900 |
| Clarity Health | All Products | $2,002 |
| The Legacy Companies | All Products | $2,002 |
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