CT abdomen and pelvis with contrast at Northern Light Mayo Hospital. CPT 74177.
What Northern Light Mayo Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$1,495cash price (self-pay)
$4,530list price
$80.46–$4,530range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MCR Advantage | $145 |
| UHC | MCR Advantage | $145 |
| Anthem | MCR Advantage | $145 |
| Martin's Point | MCR Advantage | $147 |
| Wellcare | MCR Advantage | $147 |
| UHC | Commercial | $276 |
| Aetna | Commercial | $341 |
| Anthem | Commercial | $415 |
| CHO | Commercial | $482 |
| Harvard | Commercial | $498 |
| Cigna | Commercial | $529 |
Inpatient
$1,495cash price (self-pay)
$4,530list price
$2,945–$4,530range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $2,945 |
| Cigna | Commercial | $3,379 |
| Aetna | Commercial | $3,470 |
| UHC | Commercial | $3,506 |
| CHO | Commercial | $4,530 |
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