CT abdomen and pelvis with contrast at Graham Hospital. CPT 74177.
What Graham Hospital publishes for this service, straight from its standard-charges file, last updated May 13, 2026.
Outpatient / ER
—cash price (self-pay)
$3,343list price
$99.30–$6,518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare PPO/HMO Cah | Humana Medicare PPO/HMO Cah | $181 |
| Healthlink | Healthlink | $304 |
| United Healthcare Mcare | United Healthcare Mcare | $319 |
| Blue Cross Public Aid | Blue Cross Public Aid | $538 |
| Blue Cross-Other | Blue Cross-Other | $711 |
| Humana Claims HMO | Humana Claims HMO | $795 |
| Humana Claims PPO | Humana Claims PPO | $884 |
| Caterpillar Blue Cross | Caterpillar Blue Cross | $1,271 |
| Aetna | Aetna | $1,972 |
| Health Alliance Medical Plans | Health Alliance Medical Plans | $1,972 |
| United Healthcare | United Healthcare | $2,708 |
| Blue Cross Of IL (Bci) | Blue Cross Of IL (Bci) | $3,009 |
| Blue Cross Of IL (Ghs) | Blue Cross Of IL (Ghs) | $3,042 |
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