CT abdomen and pelvis with contrast at MedStar Franklin Square Medical Center. CPT 74177.

What MedStar Franklin Square Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$213cash price (self-pay)

$217list price

$213–$217range insurers pay

Insurance plan	Negotiated rate
Aetna US HealthCare Inc \| Aetna All HMO and PPO Plans	$217
Aetna Medicare \| Aetna Medicare	$217
AmeriGroup \| AmeriGroup DC	$217
AmeriHealth Caritas District of Columbia \| AmeriHealth	$217
CareFirst Blue Choice Inc \| All Carefirst HMO Plans	$217
CareFirst Blue Choice Inc \| All Carefirst PPO Plans	$217
CareFirst Advantage Inc \| CareFirst Medicare Advantage	$217
Tricare \| Tricare	$217
Cigna Healthspring \| Cigna Healthspring	$217
Cigna HealthCare Mid Atlantic \| All Cigna HMO	$217
Cigna HealthCare MidAtlantic Inc \| All Cigna PPO	$217
Humana \| Humana Choice Care	$217
First Health \| First Health	$217
Pfc \| Pfc	$217
Hscsn \| Hscsn	$217
Humana \| Humana Medicare Advantage	$217
Kaiser Permanente \| All Kaiser Commercial	$217
Kaiser Permanente \| Kaiser MD MCO	$217
Kaiser Permanente \| Kaiser Medicare Advantage	$217
Kaiser Permanente \| Kaiser VA MCO	$217
United Healthcare \| UnitedHealthcare Community Plan of Maryland	$217
Magellan Behavioral Health Inc \| Magellan Behavioral Health Inc	$217
MAMSI \| MAMSI MDIPA/Optimum Choice	$217
Medstar Family Choice Inc \| Medstar Family Choice DC	$217
Medstar Family Choice \| Medstar Family Choice MD	$217
NCPPO Healthlink PPO \| NCPPO	$217
UnitedHealthcare Insurance Company \| Optum VA Community Care	$217
Private HealthCare Systems (PHCS) \| Private HealthCare Systems (PHCS)	$217
United Behavioral Health Inc \| UBH All Products	$217
United Healthcare \| UHC Navigate/Core	$217

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