CT abdomen and pelvis with contrast at MedStar Georgetown University Hospital. CPT 74177.
What MedStar Georgetown University Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$5,171cash price (self-pay)
$7,956list price
$412–$7,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CareFirst Advantage Inc | CareFirst Medicare Advantage | $412 |
| Tricare | Tricare | $412 |
| UnitedHealthcare Insurance Company | Optum VA Community Care | $412 |
| United Healthcare-Ovations | United Secure | $416 |
| Aetna Medicare | Aetna Medicare | $425 |
| Health Care Service Corporation | Health Care Service Corporation | $433 |
| Humana | Humana Medicare Advantage | $433 |
| Anthem Health Plan | Anthem-HMO Medicaid | $510 |
| AmeriGroup | AmeriGroup DC | $693 |
| AmeriHealth Caritas District of Columbia | AmeriHealth | $693 |
| Hscsn | Hscsn | $693 |
| Medstar Family Choice Inc | Medstar Family Choice DC | $693 |
| United Healthcare | UHC Navigate/Core | $1,439 |
| United Healthcare | United Healthcare All HMO & Mamsi Products | $1,521 |
| United Healthcare | United Healthcare All PPO Products | $1,731 |
| Cigna HealthCare Mid Atlantic | All Cigna HMO | $2,108 |
| Cigna HealthCare Mid Atlantic | All Cigna PPO | $2,108 |
| United Healthcare | UnitedHealthcare Community Plan of Maryland | $2,228 |
| Medstar Family Choice Inc | Medstar Family Choice MD | $2,228 |
| CareFirst Blue Choice Inc | All Carefirst HMO Plans | $3,810 |
| CareFirst Blue Choice Inc | All Carefirst PPO Plans | $3,810 |
| Aetna US HealthCare Inc | Aetna All HMO and PPO Plans | $5,092 |
| Pfc | Pfc | $5,171 |
| Private HealthCare Systems (PHCS) | Private HealthCare Systems (PHCS) | $6,365 |
| First Health | First Health | $6,762 |
| Beech Street | Beech Street | $7,160 |
Inpatient
$5,171cash price (self-pay)
$7,956list price
$2,785–$7,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UnitedHealthcare Community Plan of Maryland | $2,785 |
| Pfc | Pfc | $5,171 |
| Private HealthCare Systems (PHCS) | Private HealthCare Systems (PHCS) | $6,365 |
| First Health | First Health | $6,762 |
| Beech Street | Beech Street | $7,160 |
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All common services at MedStar Georgetown University Hospital