CT abdomen and pelvis with contrast at Citizens Memorial Hospital. CPT 74177.
What Citizens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$216cash price (self-pay)
$6,267list price
$372–$2,003range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $372 |
| Allwell | Medicare Advantage | $372 |
| Cox Health Network | Medicare Advantage | $372 |
| Essence | Medicare Advantage | $372 |
| Humana | Medicare Advantage | $372 |
| United Healthcare | Medicare Advantage | $372 |
| Anthem | Medicare Advantage | $376 |
| Wellcare | Medicare Advantage | $384 |
| Providers Partner Health Plan | Medicare Advantage | $391 |
| Ambetter | Exchange | $508 |
| Anthem Alliance | Commercial | $1,985 |
| Anthem Blue Access | Commercial | $2,003 |
| Anthem Blue Preferred | Commercial | $2,003 |
| Anthem Pathway | Commercial | $2,003 |
| Anthem Traditional | Commercial | $2,003 |
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