CT abdomen and pelvis with contrast at Honoka'a Hospital and Skilled Nursing Facility. CPT 74177.
What Honoka'a Hospital and Skilled Nursing Facility publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$89.40cash price (self-pay)
$827list price
$85.17–$830range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicaid | $208 |
| Ohana Health Plan | Medicaid | $208 |
| UnitedHealthcare | Medicaid | $208 |
| AlohaCare | Medicare | $246 |
| Hawaii Medical Service Association | Medicare | $246 |
| Ohana Health Plan | Medicare | $246 |
| UnitedHealthcare | Medicare | $246 |
| Devoted Health | Medicare | $270 |
| Kaiser Permanente | Medicaid | $295 |
| Kaiser Permanente | Medicare | $295 |
| Kaiser Permanente | Commercial | $295 |
| Hawaii Western Management Group | Commercial | $393 |
| Health Management Network | Commercial | $703 |
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All common services at Honoka'a Hospital and Skilled Nursing Facility