CT abdomen and pelvis with contrast at Falmouth Hospital. CPT 74177.
What Falmouth Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$1,215cash price (self-pay)
$2,859list price
$357–$1,561range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim/ Health Plans | Commercial | $357 |
| Commonwealth Care Alliance | Commercial UMR | $416 |
| Tufts Health | Medicare Preferred | $416 |
| United Healthcare of New England | Veterans | $416 |
| Wellsense | Senior Care Options | $420 |
| Tufts Health | Senior Care Option | $422 |
| Blue Cross Blue Shield | Medicare Advantage HMO/PPO | $447 |
| Longevity Health Plan of MA | Medicare Advantage | $458 |
| Fallon Community Health | Fallon Medicare Plus | $533 |
| Fallon Community Health | NaviCare | $549 |
| Tufts Health | Direct Connector Plans | $794 |
| Innovative Claim Doc | Commercial | $1,007 |
| Unicare | Commercial | $1,173 |
| Blue Cross Blue Shield | HMO | $1,561 |
| Blue Cross Blue Shield | Indemnity | $1,561 |
| Blue Cross Blue Shield | PPO, Out of State, Federal | $1,561 |
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