CT abdomen and pelvis with contrast at Spring Harbor Hospital. CPT 74177.
What Spring Harbor Hospital publishes for this service, straight from its standard-charges file, last updated August 12, 2025.
Outpatient / ER
—cash price (self-pay)
—list price
$82.60–$633range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | Commercial | $176 |
| Aetna | Medicare Advantage | $257 |
| Anthem | Medicare Advantage | $257 |
| Aetna | HMO/PPO | $266 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $377 |
| Harvard Pilgrim Healthcare | Commercial | $382 |
| Community Health Options | Commercial | $403 |
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