CT abdomen and pelvis with contrast at Monroe Hospital. CPT 74177.
What Monroe Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$367cash price (self-pay)
$5,307list price
$367–$5,307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $367 |
| BCBS | BCBS Medicaid - Healthy Indiana Plan - HIP | $367 |
| BCBS | BCBS Medicare | $367 |
| Care Source | Care Source Medicare | $367 |
| Traditional Medicare | Traditional Medicare | $367 |
| Tricare | Tricare | $367 |
| UHC Optum VA CCN | UHC VA CCN | $367 |
| United Healthcare | UHC Medicare | $367 |
| USA Senior Care Network | USA Senior Care Network Medicare | $367 |
| Worthington Christian Fellowship | Worthington Christian Fellowship Me | $367 |
| Provider Partners Health Plan | Provider Partners Health Plan Medicare | $404 |
| Monroe Medical Group and Managed Health Services | Monroe Medical Grou | $496 |
| Employer Direct Healthcare | Employer Direct Healthcare Surgery Plus M | $514 |
| Care Source | Care Source Exchange - QHP | $533 |
| Pathfinder Advisor | Path Finder Advisor Commercial (OP Only) (05-01-2 | $552 |
| BCBS | BCBS Medicaid - Hoosier Healthwise | $632 |
| Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $632 |
| Care Source | Care Source Medicaid - Hoosier Healthwise | $632 |
| Traditional Medicaid | Traditional Medicaid | $632 |
| United Healthcare | UHC Medicaid CHIP - Hoosier Care | $632 |
| Corvel Workers Compensation | Corvel Workers Compensation | $639 |
| Aetna | Aetna Commercial | $650 |
| BCBS Workers Compensation | BCBS Workers Compensation | $661 |
| Zelis Healthcare FKA Stratose | Zelis Healthcare FKA Stratose Wokers C | $698 |
| Americas Choice Provider Network ACPN | Americas Choice Provider Netwo | $713 |
| Multiplan | Multiplan Workers Compensation | $713 |
| Prime Health Services | Prime Health Services Workers Compensation | $713 |
| Three Rivers | Three Rivers Workers Compensation | $713 |
| Encore Health Network Workers Compensation | Encore Health Network Wor | $720 |
| Provider Select | Provider Select Workers Compensation | $727 |
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