CT abdomen and pelvis with contrast at UMass Memorial Health-Harrington Hospital. CPT 74177.
What UMass Memorial Health-Harrington Hospital publishes for this service, straight from its standard-charges file, last updated April 3, 2026.
Outpatient / ER
$4,166cash price (self-pay)
$4,166list price
$418–$4,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MGB MCR [10124] | All MGB MCR HR [315] Plans | $423 |
| INSTITUTION [10406] | All HOSPICE HR [311] Plans | $423 |
| CIGNA MCR [10121] | All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Pla | $423 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY HR [310] Plans | $423 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA HR [165] Plans | $424 |
| BCBS MCR [10102] | All BC MCR HR [64] Plans | $437 |
| COMMONWEALTH CARE ALLIANCE [10103] | All ONE CARE HR [298] Plans | $444 |
| AETNA MCR [10101] | All MEDICARE ADV AT 105% HR [301] Plans | $444 |
| TUFTS MCR [10112] | All TUFTS MCR HR [300] Plans | $444 |
| FALLON MCR [10105] | All FALLON SUMMIT ELDER CARE HR [334] Plans | $444 |
| FALLON MCR SUPP [20202] | All FALLON SENIOR HR [139] Plans | $444 |
| UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plan | $444 |
| UHC MCR REPLACE AARP [10114] | All UHC MCR HR [333] Plans | $453 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH HR [128] Plans | $453 |
| HSNO/FREE CARE [10801] | All HSNO HR [70] Plans | $681 |
| TUFTS CONNECTORCARE [10507] | All TUFTS CONNECTORCARE/DIRECT QHP HR [1 | $720 |
| WELLPOINT [11112] | All WELLPOINT (UNICARE) HR [60] Plans | $953 |
| BCBS [10301] | All BC HMO HR [47] Plans | $1,695 |
| BCBS [10301] | All BC PPO HR [48] Plans | $1,695 |
| WORKERS COMPENSATION [20501] | All WORKERS COMP HR [31] Plans | $2,032 |
| MEDICAID [20301] | All MEDICAID OF MAINE [283] Plans | $2,166 |
| HNE [11108] | All HEALTH NEW ENGLAND HR [294] Plans | $2,711 |
| FIRST HEALTH NETWORK [11120] | All COVENTRY (FIRST HEALTH) [83] Plans | $3,125 |
| CIGNA HEALTH PLAN [11104] | All CIGNA HR [34] Plans | $3,216 |
| EVERNORTH BEHAVIORAL HEALTH [27] | All EVERNORTH (FORMERLY CIGNA) BEHA | $3,333 |
| UHC [11111] | All UHC HR [37] Plans | $3,538 |
| UHC [11111] | All UHC SUREST HR [324] Plans | $3,538 |
| AETNA OPTUM BH [71] | All CATCH ALL @ 100% [217] Plans | $4,166 |
| CONNECTICARE [11105] | All CATCH ALL @ 100% [217] Plans | $4,166 |
| WELLSENSE MCAID CARELON HLTH [21] | All CARELON (FORMERLY BEACON) BH W | $4,166 |
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All common services at UMass Memorial Health-Harrington Hospital