CT abdomen and pelvis with contrast at Franciscan Health Carmel. CPT 74177.
What Franciscan Health Carmel publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$781cash price (self-pay)
$3,381list price
$369–$3,043range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare | $369 |
| Medicare Replacement [2003] | Medicare | $369 |
| Medicaid Illinois [1091] | In Mcd-Cir-Carmel | $632 |
| Medicaid [1092] | In Mcd-Cir-Carmel | $632 |
| Mdwise [1175] | In Mcd-Cir-Carmel | $632 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Cir-Carmel | $632 |
| Managed Health Services [1302] | In Mcd Ind-Carmel-Car Ort 112% Of In | $652 |
| WORKERS COMP [1172] | Workers Comp - CIR - INDIANAPOLIS | $738 |
| Medicaid [1092] | In Mcd-Indianapol Caresource 120% In Mcd | $759 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $893 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Indianapolis & | $1,146 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Indianapolis & | $1,299 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Indianapolis & | $1,451 |
| Blue Cross [1014] | Anthem Blue Traditional With Copps - Indianapolis | $1,451 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Indianapolis & CA | $1,451 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - India | $1,451 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - I | $1,451 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $1,451 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $1,451 |
| United Healthcare [1156] | United Healthcare Charter-Cid | $1,651 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $1,658 |
| United Healthcare [1156] | United Healthcare-Cid | $1,684 |
| United Medical Resources [1158] | United Healthcare-Cid | $1,684 |
| United Medical Resources [1301] | United Healthcare-Cid | $1,684 |
| Managed Care [2000] | United Healthcare-Cid | $1,684 |
| Commercial [2001] | United Healthcare-Cid | $1,684 |
| Managed Care [2000] | Unified Group Services-Cir | $2,367 |
| Commercial [2001] | Indiana Bone Marrow Transplant-Cir | $2,367 |
| Commercial [2001] | Unified Group Services-Cir | $2,367 |
| Managed Care [2000] | Ccn/First Health-Cir | $2,607 |
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