CT abdomen and pelvis with contrast at John Fitzgibbon Memorial Hospital LLC. CPT 74177.
What John Fitzgibbon Memorial Hospital LLC publishes for this service, straight from its standard-charges file, last updated February 2, 2026.
Outpatient / ER
$179cash price (self-pay)
$4,391list price
$98.62–$3,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer - All Plans | UHC All Payer - All Plans | $709 |
| BCBS Preferred Blue Risk PPO | BCBS Preferred Blue Risk PPO | $1,514 |
| Aetna - All Plans | Aetna - All Plans | $2,854 |
| BCBS Blue Leased PPO - All Other Plans | BCBS Blue Leased PPO - All Ot | $3,188 |
| Cigna - All Plans | Cigna - All Plans | $3,206 |
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All common services at John Fitzgibbon Memorial Hospital LLC