CT abdomen and pelvis with contrast at North Okaloosa Medical Center. CPT 74177.
What North Okaloosa Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,020cash price (self-pay)
$22,334list price
$207–$20,100range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Evolutions | Evolutions Work Comp FL | $334 |
| USA Managed Care Work Comp FL | USA Managed Care Work Comp FL | $334 |
| Veterans Eval Services | Veterans Eval Services | $336 |
| Prime Health Work Comp FL | Prime Health Work Comp FL | $341 |
| NODE Tricare | NODE Tricare | $346 |
| AmComp Workers Comp | FL Work Comp | $352 |
| Aetna | NODE Aetna MCR ADV | $358 |
| Blue Cross Blue Shield | NODE BCBS FL MCR ADV | $358 |
| NODE Cigna Healthspring MCR ADV | NODE Cigna Healthspring MCR ADV | $358 |
| Humana | NODE Humana MCR HMO PFFS | $358 |
| NODE Medicare Non Par | NODE Medicare Non Par | $358 |
| NODE Medicare Traditional | NODE Medicare Traditional | $358 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $358 |
| NODE ChampVA | NODE ChampVA | $364 |
| NODE Non Par Hospice Agree | NODE Hospice Non Par | $364 |
| Humana | NODE Humana MCR PPO | $376 |
| Simply Healthcare | NODE Simply Health MCR ADV | $376 |
| Florida Department of Corrections | FL DOC | $394 |
| NODE US Dept of Labor | NODE US Dept of Labor | $455 |
| Occunet | Occunet Work Comp FL | $1,250 |
| Aetna | Aetna | $1,343 |
| Aetna | Aetna ASA | $1,477 |
| Blue Cross Blue Shield | BCBS FL BSL | $1,644 |
| Blue Cross Blue Shield | BCBS FL MBN | $1,644 |
| Blue Cross Blue Shield | BCBS FL HMO | $1,770 |
| BCBS FL Sbn | BCBS FL Sbn | $1,770 |
| Blue Cross Blue Shield | BCBS FL NWB | $2,105 |
| Blue Cross Blue Shield | BCBS FL PPO | $2,105 |
| United Healthcare | UHC NHP | $2,183 |
| Blue Cross Blue Shield | BCBS FL PHS | $2,310 |
Inpatient
$6,030cash price (self-pay)
$22,334list price
$4,422–$15,634range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $4,422 |
| Self Pay | Self Pay | $6,030 |
| Corizon Health Inc | Corizon Health Inc | $7,549 |
| Cigna | Cigna PPO | $11,390 |
| Aetna | Aetna INTL Passport | $13,624 |
| Aetna | Aetna First Health | $14,517 |
| Evolutions | Evolutions Healthcare | $15,634 |
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