CT abdomen and pelvis with contrast at Moanalua Medical Center. CPT 74177.
What Moanalua Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,693cash price (self-pay)
$3,590list price
$367–$1,180range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $367 |
| [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $486 |
| [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $1,180 |
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