CT abdomen and pelvis with contrast at Wayne County Hospital. CPT 74177.
What Wayne County Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$4,658cash price (self-pay)
$4,658list price
$264–$1,770range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna PPO-All Other Plans | Aetna PPO-All Other Plans | $264 |
| Aetna HMO | Aetna HMO | $264 |
| Wellmark BCBS HMO | Wellmark BCBS HMO | $346 |
| Wellmark BCBS PPO-All Other Plans | Wellmark BCBS PPO-All Other Plans | $380 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,537 |
| UHC Medicaid-All Plans | UHC Medicaid-All Plans | $1,770 |
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