CT abdomen and pelvis with contrast at Mount Sinai Hospital. CPT 74177.
What Mount Sinai Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$149cash price (self-pay)
$6,280list price
$85.10–$14,192range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lawndale Christian - All Plans | Lawndale Christian - All Plans | $407 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $477 |
| BCBS Mcaid | BCBS Mcaid | $477 |
| Family Health Network Mcaid - All Plans | Family Health Network Mcaid | $477 |
| Molina Mcaid | Molina Mcaid | $501 |
| Cigna Comm Ip/Op Only - All Other Plans | Cigna Comm Ip/Op Only - All | $758 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,062 |
| Partners In Hlth - All Plans | Partners In Hlth - All Plans | $1,299 |
| BCBS Blue Choice | BCBS Blue Choice | $1,451 |
| Healthlink HMO | Healthlink HMO | $1,623 |
| Healthlink PPO - All Other Plans | Healthlink PPO - All Other Plans | $1,623 |
| BCBS PPO - All Other Plans | BCBS PPO - All Other Plans | $1,737 |
| Compsych Ip/Op Only - All Plans | Compsych Ip/Op Only - All Plans | $1,948 |
| BCBS HMO | BCBS HMO | $2,064 |
| Hfn Platinum | Hfn Platinum | $2,110 |
| Multiplan Primary Ntwrk/Phcs - All Other Plans | Multiplan Primary Ntw | $2,272 |
| Hfn EPO | Hfn EPO | $2,597 |
| Multiplan Complementary Ntwrk | Multiplan Complementary Ntwrk | $2,597 |
| Hfn PPO - All Other Plans | Hfn PPO - All Other Plans | $2,857 |
| Tricare - All Plans | Tricare - All Plans | $3,149 |
| Va Healthnet - All Plans | Va Healthnet - All Plans | $3,149 |
| BCBS Mcr Adv HMO/PPO | BCBS Mcr Adv HMO/PPO | $3,246 |
| Cenpatico Illinicare Dual | Cenpatico Illinicare Dual | $3,246 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $3,246 |
| Meridian/Harmony D-Snp - All Plans | Meridian/Harmony D-Snp - All Plan | $3,246 |
| Nextlevel Hlth Icp Fhp Aca - All Plans | Nextlevel Hlth Icp Fhp Aca - | $3,246 |
| Advocate Physician Prtnrs Mcr | Advocate Physician Prtnrs Mcr | $3,246 |
| Cenpatico Illinicare Mcr - All Other Plans | Cenpatico Illinicare Mcr | $3,246 |
| Zing Mcr Adv - All Plans | Zing Mcr Adv - All Plans | $3,376 |
| Centene/Celtic - All Plans | Centene/Celtic - All Plans | $3,409 |
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