CT abdomen and pelvis with contrast at Morton Plant North Bay Hospital. CPT 74177.
What Morton Plant North Bay Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$4,532cash price (self-pay)
$7,553list price
$209–$7,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Clear Health Alliance | Medicaid HMO | $209 |
| Humana | Medicaid HMO | $215 |
| Molina Healthcare | Medicaid HMO | $217 |
| Simply HealthCare | Medicaid HMO | $217 |
| Sunshine Health | Medicaid HMO | $217 |
| Freedom Health | Medicaid HMO | $217 |
| Aetna | Medicaid HMO | $221 |
| Florida Community Care | Medicaid HMO | $228 |
| Molina | Medicare HMO | $1,360 |
| Simply Healthcare | Medicare HMO | $1,360 |
| Freedom | Medicare HMO | $1,511 |
| Optimum | Medicare HMO | $1,511 |
| CarePlus | Medicare HMO | $1,726 |
| Aetna | Commercial Other | $1,887 |
| Aetna | Commercial HMO | $2,103 |
| Blue Cross | Commercial HMO My Blue | $2,215 |
| Cigna | Commercial HMO | $2,255 |
| Ultimate Health Plan | Medicare HMO | $2,266 |
| AvMed | Commercial Other | $2,341 |
| Blue Cross | Commercial HMO Simply Blue | $2,904 |
| Blue Cross | Commercial PPO Blue Select | $2,996 |
| Blue Cross | Commercial HMO Health Options | $3,537 |
| Cigna | Commercial PPO | $3,555 |
| AvMed | Commercial | $3,701 |
| Blue Cross | Commercial PPO Network Blue | $3,726 |
| Evolutions | Commercial Prime Network Products | $3,777 |
| Blue Cross | Commercial PPO PHS | $3,997 |
| United Healthcare | Commercial HMO | $4,018 |
| Ambetter | Commercial Select Core | $4,180 |
| Ambetter | Commercial Value | $4,234 |
Inpatient
$4,532cash price (self-pay)
$7,553list price
$4,252–$7,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Commercial Other | $4,252 |
| Evolutions | Commercial PPO International | $5,287 |
| United Healthcare | Commercial PPO | $5,914 |
| Aetna | Commercial PPO | $6,156 |
| Evolutions | Commercial PPO Select Network | $6,420 |
| First Health | Commercial PPO | $6,420 |
| Cigna | Commercial PPO | $6,571 |
| Multiplan | Commercial PPO | $6,798 |
| United Healthcare | Indemnity | $6,798 |
| Evolutions | Commercial PPO Choice | $7,024 |
| Ambetter | Commercial Select Core | $7,553 |
| Ambetter | Commercial Value | $7,553 |
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