CT abdomen and pelvis with contrast at Emanuel Medical Center. CPT 74177.
What Emanuel Medical Center publishes for this service, straight from its standard-charges file, last updated February 25, 2026.
Outpatient / ER
$2,760cash price (self-pay)
$3,680list price
$368–$3,128range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Medicare Advantage | $368 |
| BCBS HIX | Commercial | $760 |
| Meritain | Commercial | $1,840 |
| CIGNA | Commercial | $1,995 |
| Aetna HMO | HMO | $2,319 |
| Health Smart | PPO | $2,760 |
| Humana | Commercial | $2,768 |
| Aetna POS & PPO | PPO | $2,944 |
| UnitedHealthcare | Commercial | $3,128 |
Inpatient
$2,760cash price (self-pay)
$3,680list price
$1.00–$3,680range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna POS & PPO | PPO | $1.00 |
| Aetna HMO | HMO | $1.00 |
| BCBS HIX | Commercial | $36.42 |
| Blue Cross HMO/POS | POS | $70.00 |
| Blue Cross Open Access | Open Access | $70.00 |
| Meritain | Commercial | $1,840 |
| Health Smart | PPO | $2,760 |
| Humana | Commercial | $2,768 |
| UnitedHealthcare | Commercial | $3,680 |
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