CT abdomen and pelvis with contrast at Emerson Hospital. CPT 74177.
What Emerson Hospital publishes for this service, straight from its standard-charges file, last updated May 18, 2026.
Outpatient / ER
$2,127cash price (self-pay)
$2,836list price
$204–$2,836range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MassHealth | MassHealth | $204 |
| Mgb Mh Aco | Mgb Mh Aco | $204 |
| Tufts Medicare Preferred | Tufts Medicare Preferred | $410 |
| Tufts Senior care Options | Tufts Senior care Options | $410 |
| BCBS Mcr Adv | BCBS Mcr Adv | $411 |
| UHC Medicare | UHC Medicare | $411 |
| Commonwealth Care Alliance Medicaid | Commonwealth Care Alliance Medic | $418 |
| MGB Medicare | MGB Medicare | $420 |
| Wellpoint (formerly Unicare) | Wellpoint (formerly Unicare) | $691 |
| Tufts PPO | Tufts PPO | $1,304 |
| Aetna | Aetna | $1,673 |
| Blue Cross Blue Shield HMO | Blue Cross Blue Shield HMO | $2,016 |
| Blue Cross Blue Shield PPO/Indemnity/OOS | Blue Cross Blue Shield PPO/ | $2,016 |
| UHC Commercial | UHC Commercial | $2,127 |
| Cigna/Gwl | Cigna/Gwl | $2,595 |
| UHC Bh | UHC Bh | $2,836 |
Inpatient
$2,127cash price (self-pay)
$2,836list price
$2,595–$2,595range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Gwl | Cigna/Gwl | $2,595 |
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