CT abdomen and pelvis with contrast at George C. Grape Community Hospital. CPT 74177.
What George C. Grape Community Hospital publishes for this service, straight from its standard-charges file, last updated August 6, 2026.
Outpatient / ER
$4,064cash price (self-pay)
$4,515list price
$602–$4,380range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer- All Plans | UHC All Payer- All Plans | $602 |
| BCBS HMO | BCBS HMO | $791 |
| BCBS PPO - All Other Plans | BCBS PPO - All Other Plans | $872 |
| Humana - All Plans | Humana - All Plans | $2,258 |
| Aetna - All Plans | Aetna - All Plans | $4,199 |
| Golden Rule - All Plans | Golden Rule - All Plans | $4,289 |
| Cigna - All Plans | Cigna - All Plans | $4,380 |
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