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CT abdomen and pelvis with contrast at Straub Benioff Medical Center. CPT 74177.

What Straub Benioff Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.

Outpatient / ER

$2,168cash price (self-pay)
$3,797list price
$181–$3,383range insurers pay
Insurance planNegotiated rate
Blended Rate UHC | All Products$181
Hmsa | Quest Abd$181
UHC | All Products$181
Alohacare | Abd - Pediatric$214
Alohacare | Abd - Adult$214
Ohana | Quest - Abd$220
Mdx | All Products$331
Alohacare | Medicare Advantage$350
Hmsa | Medicare Advantage$350
Mdx | Humana Medicare$350
Mdx | UHC Medicare$350
Ohana | Medicare Advantage$357
Devoted | Medicare Advantage$367
Ohana | Quest - Non-Abd$423
Alohacare | Non-Abd - Adult$466
Alohacare | Non-Abd - Pediatric$466
Hmsa | Quest Non-Abd$490
Hwmg/Hmaa | All Products$538
Hcha | All Products$760
Verdegard | Union Trust Fund$760
Hmsa | All Products$901
Calvos | Select Care$2,847
Mimoh | All Products$2,847
Kaiser | All Products$3,037
Multiplan | All Products$3,227

Inpatient

$2,168cash price (self-pay)
$3,797list price
$2,710–$3,383range insurers pay
Insurance planNegotiated rate
Multiplan | All Products$3,037
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All common services at Straub Benioff Medical Center