CT abdomen and pelvis with contrast at The Queen's Medical Center West O'ahu. CPT 74177.
What The Queen's Medical Center West O'ahu publishes for this service, straight from its standard-charges file, last updated March 11, 2026.
Outpatient / ER
$2,323cash price (self-pay)
$3,319list price
$258–$1,148range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicaid | $258 |
| Hawaii Community Health Alliance | Commercial | $369 |
| Hawaii Mainland Administrators | UFCW | $369 |
| AlohaCare | Medicare | $410 |
| HMSA | Medicare | $410 |
| Kaiser | Medicare Advantage | $410 |
| Ohana Care | Medicare | $410 |
| United Healthcare | Medicare | $410 |
| Hawaii Western Management Group | Commercial | $484 |
| HMSA | Medicaid | $490 |
| Hawaii Mainland Administrators | Non Trust Local | $542 |
| United Healthcare | Medicaid | $564 |
| Hawaii Laborers | Commercial | $669 |
| Seven Corners | Commercial | $759 |
| HMSA | Commercial | $901 |
| HMSA | PHC Commercial | $901 |
| Kaiser | Commercial | $1,148 |
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All common services at The Queen's Medical Center West O'ahu