CT abdomen and pelvis with contrast at Tufts Medical Center. CPT 74177.
What Tufts Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$755cash price (self-pay)
$2,158list price
$193–$2,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plans Inc [100262] | Hb Xr Hphc HMO POS Tmc | $289 |
| Health Plans Inc [100262] | Hb Xr Hphc PPO Tmc | $289 |
| Tufts Health Public Plan Connectorcare [100264] | Hb Xr Thpp Connector | $520 |
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $566 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $566 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $566 |
| First Health [100278] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $566 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $566 |
| Benemax [100276] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| Ibew Local 103 [100272] | Hb Xr Non-Contracted 35% Of Billed Charges T | $566 |
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| Compsych [100027] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $566 |
| Magellan Behavioral Health [100288] | Hb Xr Non-Contracted 35% Of Bill | $566 |
| Coventry [100010] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| Employee Benefit Management [100033] | Hb Xr Non-Contracted 35% Of Bil | $566 |
| D'Youville Senior Care [950003] | Hb Xr Non-Contracted 35% Of Billed C | $566 |
| Northwood Rehabilitation & Health [950004] | Hb Xr Non-Contracted 35% | $566 |
| Geha [100039] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $566 |
| National Elevator Ind Hlth Benefits [100273] | Hb Xr Non-Contracted 35 | $566 |
| Group And Pension Administrators [100043] | Hb Xr Non-Contracted 35% O | $566 |
| Generic Commercial [109999] | Hb Xr Non-Contracted 35% Of Billed Charg | $566 |
| Allaracare [100163] | Hb Xr Allaracare Tmc | $610 |
| Cigna [100009] | Hb Xr Cigna Tmc | $809 |
| Aetna [100001] | Hb Xr Aetna HMO POS Tmc | $863 |
| Aetna [100001] | Hb Xr Aetna PPO Tmc | $863 |
| Meritain [100063] | Hb Xr Aetna HMO POS Tmc | $863 |
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