CT abdomen and pelvis with contrast at Virginia Gay Hostpital. CPT 74177.
What Virginia Gay Hostpital publishes for this service, straight from its standard-charges file, last updated August 13, 2026.
Outpatient / ER
$2,780cash price (self-pay)
$3,527list price
$266–$3,400range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna HMO/PPO Home Health | Aetna HMO/PPO Home Health | $266 |
| Aetna/Coventry HMO-All Other Plans | Aetna/Coventry HMO-All Other Plan | $266 |
| Amerigroup Medicaid-All Plans | Amerigroup Medicaid-All Plans | $356 |
| Wellmark HMO | Wellmark HMO | $1,042 |
| Wellmark PPO-All Other Plans | Wellmark PPO-All Other Plans | $1,146 |
| UHC Mcr Adv | UHC Mcr Adv | $1,199 |
| Va Ccn-All Plans | Va Ccn-All Plans | $1,305 |
| Health Alliance Mcr Adv | Health Alliance Mcr Adv | $1,376 |
| Iowa Total Care Medicaid-All Plans | Iowa Total Care Medicaid-All Plan | $1,619 |
| UHC-All Other Plans | UHC-All Other Plans | $1,679 |
| Medical Associates-All Plans | Medical Associates-All Plans | $2,645 |
| Cedar Valley Community Healthcare-All Plans | Cedar Valley Community H | $2,777 |
| Humana PPO/POS/HMO-All Plans | Humana PPO/POS/HMO-All Plans | $2,822 |
| Health Partners-All Plans | Health Partners-All Plans | $2,998 |
| Healthsmart-All Plans | Healthsmart-All Plans | $2,998 |
| Corvel-All Plans | Corvel-All Plans | $3,280 |
| Health Alliance-All Other Plans | Health Alliance-All Other Plans | $3,351 |
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