CT abdomen and pelvis with contrast at South Shore Hospital. CPT 74177.
What South Shore Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,123cash price (self-pay)
$5,890list price
$418–$1,150range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $418 |
| Bcbs | Anthem Hmo | $441 |
| Bcbs | Anthem Ppo | $441 |
| Unitedhealthcare | All Commercial Plans | $441 |
| Harvard Pilgrim | Fully Insured All Commercial Plans | $483 |
| Harvard Pilgrim | Passport Ppo | $483 |
| Harvard Pilgrim | Self Insured Aso All Commercial Plans | $483 |
| Tufts Health | Carelink Ppo | $1,141 |
| Tufts Health | Ppo | $1,141 |
| Tufts Health | Hmo | $1,150 |
| Tufts Health | Non-Ipa Hmo | $1,150 |
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