CT abdomen and pelvis with contrast at UofL Health - Mary & Elizabeth Hospital. CPT 74177.
What UofL Health - Mary & Elizabeth Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,132cash price (self-pay)
$3,144list price
$320–$3,144range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Military Tricare | $320 |
| Anthem | Medicare Advantage | $335 |
| Cigna | Commercial | $335 |
| Essence Health | Medicare Advantage | $335 |
| Humana | MA Private FFS | $335 |
| Humana | PPO/HMO Medicare Advantage | $335 |
| Va Ccn | Va Ccn | $335 |
| Senior Care Community of KY | Medicare Advantage | $337 |
| CommuniCare | Medicare Advantage | $352 |
| Velocity | Medicare Advantage | $421 |
| Key Benefit Administrators | Commercial | $435 |
| WellCare | Commercial | $471 |
| Anthem | Pathway PPO/HMO | $528 |
| Passport | Molina KY Medicaid | $551 |
| UHC | KY Medicaid | $566 |
| WellCare | KY Medicaid | $566 |
| Anthem | PPO/HMO | $569 |
| Anthem | Traditional | $569 |
| Aetna | Better Health KY Medicaid | $596 |
| Humana | KY Medicaid | $596 |
| Velocity | Group Health | $606 |
| Anthem | IN Medicaid | $632 |
| Devoted | Medicare Advantage | $943 |
| Prime Group Health | Workers Comp | $1,069 |
| Passport | Commercial | $1,258 |
| UHC | Commercial | $1,500 |
| Passport | Medicare Advantage | $1,572 |
| Signature | Medicare Advantage | $1,572 |
| Encore | Commercial | $1,886 |
| Multiplan | Commercial | $2,075 |
Inpatient
$1,132cash price (self-pay)
$3,144list price
$943–$3,144range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted | Medicare Advantage | $943 |
| Prime Group Health | Workers Comp | $1,069 |
| Passport | Commercial | $1,258 |
| Anthem | Pathway PPO/HMO | $1,258 |
| Anthem | PPO/HMO | $1,353 |
| Anthem | Traditional | $1,353 |
| Passport | Medicare Advantage | $1,572 |
| Signature | Medicare Advantage | $1,572 |
| Encore | Commercial | $1,886 |
| Multiplan | Commercial | $2,075 |
| Prime Group Health | Commercial | $2,358 |
| Velocity | Auto | $2,515 |
| Prime Group Health | Auto | $2,672 |
| Multiplan | Workers Comp | $2,830 |
| OMCA | Commercial | $2,987 |
| Velocity | Workers Comp | $3,081 |
| CSHN | Commercial | $3,144 |
| Corvel | Commercial | $3,144 |
| Health Smart | Commercial | $3,144 |
| National Comp Care | Commercial | $3,144 |
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All common services at UofL Health - Mary & Elizabeth Hospital