CT abdomen and pelvis with contrast at Norton Scott Hospital. CPT 74177.
What Norton Scott Hospital publishes for this service, straight from its standard-charges file, last updated June 3, 2026.
Outpatient / ER
$718cash price (self-pay)
$3,592list price
$162–$3,233range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services (MHS) | Managed Medicaid | $162 |
| Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $162 |
| CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $162 |
| United Healthcare of Indiana | Managed Medicaid | $162 |
| CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $164 |
| MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $170 |
| Aetna | Commercial | $300 |
| United Healthcare | VACCN | $357 |
| Molina Healthcare | Dual Medicare-Medicaid | $368 |
| Molina Healthcare | Medicare Advantage | $368 |
| Molina Healthcare | Managed Medicaid | $379 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $790 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $826 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $826 |
| United Healthcare | Medicare Advantage | $843 |
| MDwise Healthy Indiana Plan (HIP) | Managed Medicaid | $862 |
| Managed Health Services (MHS) Healthy Indiana Plan (HIP) | Managed Med | $862 |
| Managed Health Services (MHS) | Medicare Advantage | $862 |
| CommuniCare Advantage | Medicare Advantage | $888 |
| Cigna | Commercial | $1,247 |
| CareSource Indiana Just4Me | Commercial | $1,293 |
| Anthem Blue Cross Blue Shield | Medicare Select | $2,068 |
| United Healthcare | Commercial | $2,141 |
| Encore Health Network | PPO | $3,053 |
| MultiPlan | Commercial | $3,053 |
| Prime Health | Commercial | $3,053 |
| Ppom | PPO | $3,161 |
| InterCommunity Health Network (IHN) | Commercial | $3,233 |
Inpatient
$718cash price (self-pay)
$3,592list price
$2,020–$3,233range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $2,020 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $2,020 |
| Anthem Blue Cross Blue Shield | Medicare Select | $2,108 |
| United Healthcare | Commercial | $2,141 |
| MultiPlan | Commercial | $2,874 |
| Encore Health Network | PPO | $3,053 |
| Prime Health | Commercial | $3,053 |
| Ppom | PPO | $3,161 |
| InterCommunity Health Network (IHN) | Commercial | $3,233 |
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