CT abdomen and pelvis with contrast at Ucf Lake Nona Hospital. CPT 74177.
What Ucf Lake Nona Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$26,274cash price (self-pay)
$26,274list price
$828–$23,647range 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 |
| AvMed | HMOFI | $1,780 |
| Freedom Health | MCR | $1,892 |
| AvMed | ASOEO | $1,975 |
| Simply | MGMCR | $4,046 |
| CorVel Corporation | WORKERSCOMP | $4,537 |
| Prime Health | WC | $4,633 |
| Molina Healthcare | MGMCR | $4,992 |
| Sunshine State Health Plan | QHP | $6,700 |
| Aetna | ASA | $7,882 |
| Molina Healthcare | HIX | $8,408 |
| United | OptionsPPO | $10,615 |
| United | GlobalBenefitPlan | $11,823 |
| AmeriHealth Caritas | HIX | $13,137 |
| AvMed | HIXOON | $13,137 |
| Plotkin Health | COMM | $13,137 |
| Prime Health Sheriff | COMM | $13,137 |
| Prime Health Sheriff | WORKERSCOMP | $13,137 |
| NovaNet | COMM | $23,647 |
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