CT abdomen and pelvis with contrast at UMass Memorial Medical Center University Campus. CPT 74177.
What UMass Memorial Medical Center University Campus publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$4,796cash price (self-pay)
$5,472list price
$220–$4,796range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| INSTITUTION [10406] | All HOSPICE UM [288] Plans | $418 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE STATE UM [94] Plans | $418 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE FORT DEVENS UM [161] | $418 |
| INSTITUTION [10406] | All HOSPICE GENERIC [237] Plans | $418 |
| MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $418 |
| MEDICARE [20206] | All MEDICARE/ MEDICARE ADV PLANS/ INST UM [67] Plan | $418 |
| TUFTS DUAL [10111] | All TUFTS UNIFY UM [230] Plans | $418 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY UM [290] Plans | $418 |
| UHC MCR SUPP AARP [20211] | All MEDICARE ADVANTAGE (MINUS IME) UM [133 | $418 |
| BCBS MCR SUPP [20201] | All BC MCR UM [63] Plans | $432 |
| UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) UM [228] Plan | $439 |
| FALLON MCR [10105] | All FALLON SENIOR UM [137] Plans | $439 |
| COMMONWEALTH CARE MCR [10115] | All ONE CARE UM [144] Plans | $439 |
| MGB MCR [10124] | All MGB MCR UM [316] Plans | $439 |
| HARVARD PILGRIM MCR SUPP [20203] | All HARVARD PILGRIM MCR UM [140] Pl | $439 |
| ETERNALHEALTH MCR REPLACE [10116] | All MEDICARE ADV AT 105% UM [136] | $439 |
| TUFTS MCR SUPP [20209] | All TUFTS MCR UM [241] Plans | $439 |
| UHC MCR REPLACE AARP [10114] | All UHC MCR UM [317] Plans | $447 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH UM [132] Plans | $447 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA UM [164] Plans | $454 |
| HSNO/FREE CARE [10801] | All HSNO UM [68] Plans | $672 |
| TUFTS CONNECTORCARE [10507] | All TUFTS CONNECTORCARE/DIRECT QHP UM [1 | $711 |
| WELLPOINT [11112] | All WELLPOINT (UNICARE) UM [51] Plans | $953 |
| BCBS [10301] | All BC HMO UM [11] Plans | $1,109 |
| BCBS [10301] | All BC PPO UM [44] Plans | $1,109 |
| FALLON CONNECTORCARE [10503] | All FALLON HMO UM [99] Plans | $1,137 |
| TUFTS [11201] | All TUFTS HMO UM [175] Plans | $1,178 |
| TUFTS [11201] | All TUFTS PPO/CARELINK UM [176] Plans | $1,296 |
| MEDICAID [20301] | All MEDICAID OF NEW HAMPSHIRE UM [163] Plans | $1,583 |
| HNE [11108] | All HEALTH NEW ENGLAND UM [82] Plans | $2,163 |
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All common services at UMass Memorial Medical Center University Campus