CT abdomen and pelvis with contrast at Boston Medical Center. CPT 74177.
What Boston Medical Center publishes for this service, straight from its standard-charges file, last updated March 13, 2026.
Outpatient / ER
$1,685cash price (self-pay)
$3,745list price
$356–$3,183range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United [2025] | Bmc Hb United Healthcare Commercial | $356 |
| Umr [2031] | Bmc Hb United Healthcare Commercial | $356 |
| Oxford Health [2024] | Bmc Hb United Healthcare Commercial | $356 |
| United [2025] | Bmc Hb Harvard Pilgrim | $386 |
| Health Plans Inc [2027] | Bmc Hb Harvard Pilgrim | $386 |
| Harvard Pilgrim Health Care [8001] | Bmc Hb Harvard Pilgrim | $386 |
| Champva [9004] | Bmc Hb Tricare | $403 |
| Tricare West [9007] | Bmc Hb Tricare | $403 |
| Humana Medicare [1225] | Bmc Hb Medicare - No Ime | $405 |
| Medicare [2001] | Bmc Hb Medicare | $405 |
| Zzzrailroad Medicare [2002] | Bmc Hb Medicare | $405 |
| Tufts [8002] | Hb Tufts Spirit | $405 |
| Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] | Bmc Hb | $405 |
| Veterans Admin [9003] | Bmc Hb Medicare - No Ime | $405 |
| Ubh Hphc [8016] | Bmc Hb Medicare | $405 |
| Wellcare [1240] | Bmc Hb Wellcare (104% Of Medicare - No Ime - Ct & Nh | $421 |
| Mass Gen Brigham Medicare Advantage [2032] | Bmc Hb Cca (105% Of Medic | $426 |
| Cca Medicare Preferred [9010] | Bmc Hb Cca (105% Of Medicare - No Ime) | $426 |
| Eternalhealth [1227] | Bmc Hb Eternal Health (106% Of Medicare) | $430 |
| Tufts [8002] | Bmc Hb Tufts Select | $458 |
| Hsn Bad Debt [4003] | Bmc Hb Health Safety Net (Ip Medicare, Op Per Vi | $513 |
| Hsn Confidential [4007] | Bmc Hb Health Safety Net (Ip Medicare, Op Pe | $513 |
| Hsn [4001] | Bmc Hb Health Safety Net (Ip Medicare, Op Per Visit) | $513 |
| Hsn Dental [4006] | Bmc Hb Health Safety Net (Ip Medicare, Op Per Visi | $513 |
| Hsn Partial [4002] | Bmc Hb Health Safety Net (Ip Medicare, Op Per Vis | $513 |
| Fallon [8008] | Bmc Hb Fallon Commercial (130% Of Medicare) | $527 |
| BCBS [6001] | Bmc Hb Blue Cross | $961 |
| BCBS Out Of State [6002] | Bmc Hb Blue Cross | $961 |
| Tufts [8002] | Bmc Hb Tufts POS/HMO | $1,140 |
| Cigna [2023] | Bmc Hb Tufts PPO | $1,214 |
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