CT abdomen and pelvis with contrast at Anna Jaques Hospital. CPT 74177.
What Anna Jaques Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,512cash price (self-pay)
$3,512list price
$418–$757range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $418 |
| Bcbs | All Commercial Plans | $532 |
| Unitedhealthcare | All Commercial Plans | $632 |
| Unicare | Gic Wellpoint All Commercial Plans | $757 |
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