CT abdomen and pelvis with contrast at Oviedo Medical Center. CPT 74177.
What Oviedo Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$23,406cash price (self-pay)
$23,406list price
$828–$11,703range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| AvMed | HIX | $922 |
| Aetna | QHP | $1,186 |
| Aetna | HMO | $1,460 |
| Aetna | PPO | $1,460 |
| Aetna | HMO/PPO | $1,537 |
| Freedom Health | MCR | $1,685 |
| Optimum | MGMCR | $1,685 |
| AvMed | HMOFI | $1,780 |
| AvMed | ASOEO | $1,975 |
| Simply | MGMCR | $3,605 |
| Molina Healthcare | MGMCR | $4,447 |
| Prime Health | WC | $4,633 |
| Sunshine State Health Plan | QHP | $5,969 |
| Aetna | ASA | $7,022 |
| United | OptionsPPO | $9,456 |
| United | GlobalBenefitPlan | $10,533 |
| AmeriHealth Caritas | HIX | $11,703 |
| AvMed | HIXOON | $11,703 |
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