CT abdomen and pelvis with contrast at Hood Memorial Hospital. CPT 74177.
What Hood Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
—cash price (self-pay)
$2,473list price
$866–$1,966range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | HMO | $866 |
| Medicare Advantage | HMO | $866 |
| BCBS HMO | HMO | $1,102 |
| BCBS PPO | PPO | $1,218 |
| UHC Commercial | PPO | $1,484 |
| Medicaid | HMO | $1,706 |
| Aetna Commercial | PPO | $1,855 |
| Cigna Commercial | PPO | $1,966 |
Inpatient
—cash price (self-pay)
$2,473list price
$900–$2,175range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Commercial | PPO | $900 |
| BCBS HMO | HMO | $1,914 |
| Cigna Commercial | PPO | $1,966 |
| BCBS PPO | PPO | $2,175 |
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