CT abdomen and pelvis with contrast at Memorial Hospital West. CPT 74177.
What Memorial Hospital West publishes for this service, straight from its standard-charges file, last updated May 27, 2026.
Outpatient / ER
$7,133cash price (self-pay)
$10,638list price
$208–$13,563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AvMed | Medicare | $208 |
| Community Care Plan | Commercial | $343 |
| Molina | Exchange | $350 |
| Amerihealth Caritas | QHP | $368 |
| Health Value Management | Transplants - Medicare | $375 |
| Florida Community Care | Dual Eligible | $390 |
| Humana | Medicare Advantage | $393 |
| Aetna | Managed Medicare | $404 |
| AvMed | Commercial | $408 |
| Health Sun | Medicare | $415 |
| Florida PACE Centers | Medicare | $419 |
| Align Senior Care | Medicare | $444 |
| Longevity | Medicare | $455 |
| Cigna | Ifp | $560 |
| Sunshine | Ambetter Exchange | $592 |
| Employers Health Network | Commercial | $630 |
| Broward County | Arrestee | $718 |
| CIGNA | Surefit Benefit Plan | $834 |
| Aetna | Qualified Health Plan | $862 |
| CIGNA | HMO/Local Plus Benefit/Network/Open Access/POS/Pathwell - Bene | $907 |
| Aetna | Gatekeeper | $1,325 |
| Aetna Better Health | Healthy Kids | $1,702 |
| AvMed | Exchange | $3,263 |
| AvMed | Select Network | $3,273 |
| Health Value Management | Transplants - Medicaid | $3,723 |
| Corvel | Workers Compensation | $4,980 |
| First Health | Worker's Compensation | $4,980 |
| Employers Choice Network | Worker's Compensation | $4,980 |
| Gallagher Bassett | Workers Compensation | $4,980 |
| Emerging Therapy Solutions | Transplants | $6,383 |
Inpatient
$7,133cash price (self-pay)
$10,638list price
$2,726–$13,563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Broward County | Arrestee | $2,726 |
| Health Value Management | Transplants - Medicaid | $3,723 |
| Health Value Management | Transplants - Medicare | $3,723 |
| Sunshine | Ambetter Exchange | $4,468 |
| Emerging Therapy Solutions | Transplants | $6,383 |
| Allianz | PPO | $6,915 |
| Axis | Commercial | $6,915 |
| Desjardins Financial Security Life Assurance Company | Commercial | $6,915 |
| Global Health Claims | Non-Domestic | $6,915 |
| Global Reach Health | Commercial | $6,915 |
| Global Medical Management | Commercial | $6,915 |
| National Healthcare Solutions | Commercial | $6,915 |
| Plotkin | Commercial | $6,915 |
| Quality Health Management | Commercial | $6,915 |
| Quebec Inc | Commercial | $6,915 |
| Star Healthcare Network | Commercial | $6,915 |
| World Medical Care | Commercial | $6,915 |
| Worldwide Managed Care Partners | Commercial | $6,915 |
| Worldwide Medical Assurance | Commercial | $6,915 |
| Dimension Health | PPO | $7,181 |
| Gallagher Bassett | Workers Compensation | $8,510 |
| Global Health Claims | Domestic | $9,042 |
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