CT abdomen and pelvis with contrast at Holyoke Medical Center. CPT 74177.
What Holyoke Medical Center publishes for this service, straight from its standard-charges file, last updated May 1, 2026.
Outpatient / ER
$935cash price (self-pay)
$935list price
$16.71–$1,666range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Open Access Elect Choice Net 01539 | $61.04 |
| Noridian Healthcare Solutions, Llc | All Plans | $64.64 |
| Palmetto Gba | All Plans | $65.16 |
| Novitas Solutions, Inc. | All Plans | $66.94 |
| National Government Services, Inc. | Medicare Supplement | $67.35 |
| Aetna | Aetna Choice Pos Ii Net 00339 | $67.82 |
| Aetna | Aetna Healthfund Aetna Choice Pos Ii Net 00339 | $67.82 |
| National Government Services, Inc. | All Plans | $67.84 |
| National Government Services, Inc. | Medicare Extension | $67.98 |
| Aetna | Open Access Aetna Select 8480 Net 08125 | $68.08 |
| Commonwealth Of Massachusetts | Plus | $70.14 |
| Humana Inc. | Medicare Advantage Ppo | $70.89 |
| Commonwealth Care Alliance, Inc | H3001000 | $71.98 |
| Aetna | Open Access Aetna Select 8480 Net 01539 | $72.20 |
| Aetna | Esa - Medicare Ma (Aetna) | $74.93 |
| Aetna | Open Access Pos - Medicare (Aetna) | $74.93 |
| Aetna | Ppo - Medicare (Aetna) | $75.61 |
| Diversified Administration Corporation | All Plans | $79.78 |
| Unitedhealthcare Insurance Company | Ma Mmp One Care - H9239-001 | $83.40 |
| Health New England, Inc. | All Plans | $83.40 |
| Aetna | Esa - Medicare (Aetna) | $84.14 |
| Tufts Health Plan Medicare Preferred | All Plans | $84.34 |
| Tufts Health Plan Public Plans | All Plans | $85.10 |
| Commonwealth Care Alliance, Inc | H2001000 | $85.21 |
| Aetna | Aetna Open Access Managed Choice Net 00339 | $85.85 |
| Unitedhealthcare Insurance Company | Ma Dual H2226-001-000 | $87.57 |
| Unitedhealthcare Insurance Company | Ma Dual H2226-003-000 | $87.57 |
| Blue Cross And Blue Shield Of Mass | All Plans | $89.09 |
| Total Health Plan, Inc. | All Plans | $90.55 |
| Fchp | All Plans | $91.74 |
Inpatient
$935cash price (self-pay)
$935list price
$655–$692range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Behavioral Health | Evernorth Bh | $655 |
| Magellan | Magellan Mass | $655 |
| Magellan | Magellan Swh | $655 |
| Mass General Brigham Commercial | Mass General Brigham Commercial | $664 |
| Cigna | Cigna Commercial | $687 |
| Fallon | Fallon Commercial | $692 |
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