CT abdomen and pelvis with contrast at Kona Community Hospital. CPT 74177.
What Kona Community Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$653cash price (self-pay)
$3,806list price
$181–$3,692range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hawaii Medical Service Association | ABD | $181 |
| UnitedHealthcare | Medicaid | $194 |
| AlohaCare | Medicaid | $310 |
| Ohana Health Plan | Medicaid | $330 |
| AlohaCare | Medicare | $372 |
| Hawaii Medical Service Association | Medicare | $372 |
| Ohana Health Plan | Medicare | $372 |
| UnitedHealthcare | Medicare | $372 |
| Hawaii Western Management Group | Commercial | $403 |
| Kaiser Permanente | Medicare | $405 |
| Devoted Health | Medicare | $409 |
| Humana | Medicare | $412 |
| Hawaii Medical Service Association | Non-ABD | $490 |
| Hawaii Medical Service Association | Commercial | $515 |
| University Health Alliance | Commercial | $728 |
| Kaiser Permanente | Medicaid | $1,169 |
| Kaiser Permanente | Commercial | $1,397 |
| Health Management Network | Commercial | $2,045 |
| MDX Hawaii | PPO | $3,692 |
Inpatient
$2,474cash price (self-pay)
$3,806list price
$3,235–$3,692range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $3,235 |
| MDX Hawaii | PPO | $3,692 |
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