CT abdomen and pelvis with contrast at Monroe Surgical Hospital. CPT 74177.
What Monroe Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$1,718cash price (self-pay)
$2,290list price
$294–$2,061range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy_blue | Medicaid | $294 |
| Medicaid | Medicaid | $294 |
| Medicaid_amerihealth | Medicaid | $294 |
| Aetna | Medicare Advantage | $316 |
| Blue_cross_blue_shield | Medicare Advantage | $316 |
| Ford_bacon_and_davis | Medicare | $316 |
| Humana | Medicare Advantage | $316 |
| Medicare | Medicare | $316 |
| UHC | Medicare Advantage | $316 |
| Vaccn_optum | Medicare | $316 |
| Vantage | Medicare Advantage | $316 |
| Blue_cross_blue_shield | Commercial | $352 |
| Insurance_systems_smso_employee | Smso Employee | $395 |
| Insurance_systems | Medicare | $442 |
| Verity | Commercial | $464 |
| Humana | Commercial | $553 |
| Vantage | Medicare | $553 |
| Gilsbar | Medicare | $679 |
| Aetna | Commercial | $1,122 |
| UHC | Commercial | $1,550 |
| Aetna | Work Comp | $1,603 |
| First_health | Commercial | $1,603 |
| Cigna | Commercial | $1,718 |
| Ima | Commercial | $1,832 |
| Beech_st | Commercial | $1,944 |
| Workers_comp | Commercial | $2,061 |
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