CT abdomen and pelvis with contrast at The Queen's North Hawaii Community Hospital. CPT 74177.
What The Queen's North Hawaii Community Hospital publishes for this service, straight from its standard-charges file, last updated March 9, 2026.
Outpatient / ER
$2,323cash price (self-pay)
$3,319list price
$135–$1,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hawaii Community Health Alliance | Commercial | $135 |
| Hawaii Mainland Administrators | UFCW | $135 |
| University Health Alliance | Commercial | $355 |
| AlohaCare | Medicaid | $439 |
| AlohaCare | Medicare | $439 |
| HMSA | Medicare | $439 |
| Kaiser | Medicare Advantage | $439 |
| MDX Hawaii | Medicare | $439 |
| Ohana Care | Medicare | $439 |
| United Behavioral Health | Medicare | $439 |
| United Healthcare | Medicare | $439 |
| HMSA | Medicaid | $490 |
| Hawaii Laborers | Commercial | $669 |
| HMSA | Commercial | $1,116 |
| Kaiser | Commercial | $1,230 |
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All common services at The Queen's North Hawaii Community Hospital