CT abdomen and pelvis with contrast at Carle Health Proctor Hospital. CPT 74177.
What Carle Health Proctor Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$8,285cash price (self-pay)
$8,285list price
$332–$4,143range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| Aetna | Medicare Advantage | $374 |
| Humana | Medicare Advantage | $374 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $374 |
| United Healthcare (UHC) | VA CCN | $374 |
| United Healthcare (UHC) | Medicare Advantage | $374 |
| Wellcare | Medicare Advantage HMO | $374 |
| Blue Cross Blue Shield | Medicare Advantage | $374 |
| Humana | Medicare-Medicaid (D-SNP) | $374 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $434 |
| Aetna | Commercial PPO | $850 |
| Cigna | PPO | $1,057 |
| United Healthcare (UHC) | PPO | $1,122 |
| Aetna Better Health | Managed Medicaid | $2,071 |
| HealthLink | HMO | $2,390 |
| Molina | Managed Medicaid | $2,486 |
| HealthLink | PPO | $2,657 |
| Blue Cross Blue Shield | Blue Choice | $3,231 |
| Blue Cross Blue Shield | Blue Choice Options | $3,231 |
| Blue Cross Blue Shield | PPO | $3,273 |
| Blue Cross Blue Shield | HMO | $3,993 |
| Multiplan/PHCS | PPO | $4,143 |
Inpatient
$8,285cash price (self-pay)
$8,285list price
$332–$4,143range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $332 |
| Aetna Better Health | Managed Medicaid | $2,071 |
| Molina | Managed Medicaid | $2,486 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $2,486 |
| Multiplan/PHCS | PPO | $4,143 |
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