CT abdomen and pelvis with contrast at Hilo Benioff Medical Center. CPT 74177.
What Hilo Benioff Medical Center publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$89.40cash price (self-pay)
$976list price
$85.17–$1,723range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hawaii Medical Service Association | ABD | $181 |
| AlohaCare | Medicaid | $208 |
| Ohana Health Plan | Medicaid | $208 |
| UnitedHealthcare | Medicaid | $208 |
| AlohaCare | Medicare | $288 |
| Hawaii Medical Service Association | Medicare | $288 |
| Ohana Health Plan | Medicare | $288 |
| UnitedHealthcare | Medicare | $288 |
| Devoted Health | Medicare | $317 |
| Kaiser Permanente | Commercial | $346 |
| Kaiser Permanente | Medicaid | $346 |
| Kaiser Permanente | Medicare | $346 |
| Hawaii Western Management Group | Commercial | $393 |
| Humana | Medicare | $412 |
| Hawaii Medical Service Association | Non-ABD | $490 |
| Hawaii Medical Service Association | Commercial | $515 |
| University Health Alliance | Commercial | $728 |
| Health Management Network | Commercial | $766 |
| MDX Hawaii | PPO | $1,723 |
Inpatient
$1,066cash price (self-pay)
$1,776list price
$1,510–$1,723range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $1,510 |
| MDX Hawaii | PPO | $1,723 |
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