CT abdomen and pelvis with contrast at Boston Medical Center South. CPT 74177.
What Boston Medical Center South publishes for this service, straight from its standard-charges file, last updated March 13, 2026.
Outpatient / ER
$574cash price (self-pay)
$1,275list price
$395–$1,282range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hsn Confidential [4007] | Bmcs Hb Health Safety Net (Ip Medicare, Op P | $395 |
| Hsn Partial [4002] | Bmcs Hb Health Safety Net (Ip Medicare, Op Per Vi | $395 |
| Hsn Bad Debt [4003] | Bmcs Hb Health Safety Net (Ip Medicare, Op Per V | $395 |
| Hsn Dental [4006] | Bmcs Hb Health Safety Net (Ip Medicare, Op Per Vis | $395 |
| United Community Plan [1202] | Bmcs Hb Medicare - No Ime | $418 |
| Neighborhood Pace [1206] | Bmcs Hb Medicare - No Ime | $418 |
| Wellsense Medicare Managed [1205] | Bmcs Hb Medicare - No Ime | $418 |
| Aarp UHC Medicare Complete [1203] | Bmcs Hb Medicare - No Ime | $418 |
| Fallon Medicare Managed [1207] | Bmcs Hb Medicare - No Ime | $418 |
| BCBS Medicare Managed [1204] | Bmcs Hb Medicare - No Ime | $418 |
| Hphc Medicare Managed [1208] | Bmcs Hb Medicare - No Ime | $418 |
| Medicare [2001] | Bmcs Hb Medicare | $418 |
| United Medicare Managed [1212] | Bmcs Hb Medicare - No Ime | $418 |
| Aetna Medicare Managed [1224] | Bmcs Hb Medicare - No Ime | $418 |
| Medicare Replacement [1209] | Bmcs Hb Medicare - No Ime | $418 |
| Tufts Medicare [1214] | Bmcs Hb Medicare - No Ime | $418 |
| Zzzrailroad Medicare [2002] | Bmcs Hb Medicare | $418 |
| Humana Medicare [1225] | Bmcs Hb Medicare - No Ime | $418 |
| Tufts Medicare Managed [1211] | Bmcs Hb Medicare - No Ime | $418 |
| Mass Gen Brigham Medicare Advantage [2032] | Bmcs Hb Cca (105% Of Medi | $439 |
| Cca [1215] | Bmcs Hb Cca (105% Of Medicare - No Ime) | $439 |
| Cca Medicare Preferred [9010] | Bmcs Hb Cca (105% Of Medicare - No Ime | $439 |
| Eternalhealth [1227] | Bmcs Hb Eternal Health (106% Of Medicare) | $443 |
| Fallon [8008] | Bmcs Hb Fallon Commercial (130% Of Medicare) | $544 |
| Senior Whole Health [1210] | Bmcs Hb Senior Whole Health (Ip-100%; Op- | $627 |
| Harvard Pilgrim Health Care [8001] | Bmcs Hb Harvard Pilgrim | $678 |
| Mass General Brigham Health Plan Prime [7003] | Bmcs Hb Mass General B | $738 |
| Mass General Brigham Health Plan Commercial [8009] | Bmcs Hb Mass Gene | $738 |
| Meritain Health [1023] | Bmcs Hb Aetna | $758 |
| Aetna [2022] | Bmcs Hb Aetna | $758 |
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