CT abdomen and pelvis with contrast at ARH Our Lady of the Way Hospital. CPT 74177.
What ARH Our Lady of the Way Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$4,247cash price (self-pay)
$7,079list price
$542–$6,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem HMO | Commercial | $542 |
| Anthem Traditional/PPO | Commercial | $542 |
| Aetna Better Health | Medicaid | $1,416 |
| Anthem | Medicaid | $1,416 |
| Anthem | Medicare Advantage | $1,416 |
| Humana | Medicaid | $1,416 |
| Humana | Medicare | $1,416 |
| Optum CCN Region 1 | Veterans Affairs Plan | $1,416 |
| Optum CCN Region 2 | Veterans Affairs Plan | $1,416 |
| WellCare of Kentucky | Medicare | $1,416 |
| WellCare of Kentucky | Medicaid | $1,430 |
| Passport Molina | Medicaid | $1,444 |
| Aetna | Medicare | $1,841 |
| CareSoure Kentucky | Commercial | $4,601 |
| Aetna POS | Commercial | $6,230 |
| Aetna PPO | Commercial | $6,230 |
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