CT abdomen and pelvis with contrast at Wellstar Sylvan Grove Hospital. CPT 74177.
What Wellstar Sylvan Grove Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$205cash price (self-pay)
$7,020list price
$506–$1,375range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Ppo | $506 |
| Cigna | Hmo | $506 |
| Aetna | Hmo/Pos/Ppo | $549 |
| Bcbs | Shbp Other Commercial Plan | $1,086 |
| Bcbs | Hmo/Pos | $1,375 |
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