CT abdomen and pelvis with contrast at North Shore Medical Center. CPT 74177.
What North Shore Medical Center publishes for this service, straight from its standard-charges file, last updated September 16, 2026.
Outpatient / ER
$358cash price (self-pay)
$19,424list price
$204–$19,424range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Administration Mill Bill | Veterans Administration Mill Bill | $251 |
| Bright Health Management Medicare | Bright Health Management Medicare | $323 |
| Avmed Medicare | Avmed Medicare | $346 |
| MMM of Florida Medicare Advantage | MMM of Florida Medicare Advantage | $351 |
| Humana Medicare HMO | Humana Medicare HMO | $352 |
| Humana Medicare PPO | Humana Medicare PPO | $352 |
| BC/BS of FL Medicare Advantage HMO | BC/BS of FL Medicare Advantage HM | $357 |
| Medicare | Medicare | $358 |
| CarePlus Health Plans | CarePlus Health Plans | $361 |
| Aetna Medicare | Aetna Medicare | $364 |
| AmeriHealth Caritas Medicare | AmeriHealth Caritas Medicare | $364 |
| Claritev Advantage | Claritev Advantage | $364 |
| Devoted Health | Devoted Health | $364 |
| Freedom Health Medicare HMO | Freedom Health Medicare HMO | $364 |
| HealthSun Health Plans | HealthSun Health Plans | $364 |
| Odyssey Healthcare of Marion County dba Gentiva | Odyssey Healthcare o | $364 |
| Optimum Healthcare Plans - HSA | Optimum Healthcare Plans | $364 |
| Simply Healthcare Medicare | Simply Healthcare Medicare | $364 |
| United Healthcare of Florida Medicare Advantage | United Healthcare of | $364 |
| BC/BS of FL Medicare Advantage PPO | BC/BS of FL Medicare Advantage PP | $367 |
| Molina Medicare Advantage Program | Molina Medicare Advantage Program | $372 |
| Cigna HealthSprings | Cigna HealthSprings | $376 |
| Doctors Healthcare | Doctors Healthcare | $376 |
| Align Senior Care Florida | Align Senior Care Florida | $383 |
| Longevity Health Plan | Longevity Health Plan | $383 |
| Solis Health Plans Medicare | Solis Health Plans Medicare | $383 |
| Sunshine State Health Plan Medicare | Sunshine State Health Plan Medic | $383 |
| OpusCare of South Florida | OpusCare of South Florida | $401 |
| Florida Pace Centers | Florida Pace Centers | $430 |
| Bright Health Management Commercial | Bright Health Management Commerc | $437 |
Inpatient
—cash price (self-pay)
$19,424list price
$9,712–$14,568range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Behavioral Health | Cigna Behavioral Health | $9,712 |
| Aetna Signature Administrators (ASA) | Aetna Signature Administrators | $11,266 |
| Dimension Health International | Dimension Health International | $12,625 |
| First Health | First Health | $13,208 |
| Aetna National Advantage Program (NAP) | Aetna National Advantage Prog | $13,985 |
| Dimension Health PPO | Dimension Health PPO | $14,568 |
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