CT abdomen and pelvis with contrast at Wright Memorial Hospital. CPT 74177.
What Wright Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$2,046cash price (self-pay)
$3,430list price
$478–$3,430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield [4000] | Zzzbc Preferred Care Blue Slhs [40027] | $730 |
| Cigna [7000] | Cigna Bjc Flex Or HDHP [70017] | $1,934 |
| Commercial-Contracted [8000] | Chc Se Ks Luminare Employee Plan [80085 | $2,470 |
| Cigna [7000] | Cigna [70002] | $2,744 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $2,744 |
| Cigna [7000] | Cigna Healthpartners [70012] | $2,744 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $2,744 |
| Cigna [7000] | Cigna Leased PPO [70003] | $2,744 |
| Cigna [7000] | Cigna PPO EPO [70001] | $2,744 |
| Cigna [7000] | Greatwest Cigna Open Access Plus [70005] | $2,744 |
| Cigna [7000] | Greatwest Cigna PPO [70006] | $2,744 |
| Aetna [5000] | Aetna Local [50005] | $2,828 |
| Aetna [5000] | Aetna Meritain Local [50015] | $2,828 |
| Aetna [5000] | Aetna Meritain National [50001] | $2,828 |
| Aetna [5000] | Aetna National [50006] | $2,828 |
| Aetna [5000] | Aetna Signature Misc PPO [50010] | $2,828 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2905 [50002] | $2,828 |
| Aetna [5000] | Aetna Signatures Luminare Pob 2920 [50000] | $2,828 |
| Aetna [5000] | Zzzaetna Carelink Exchange [50016] | $2,828 |
| Aetna [5000] | Aetna I35 Meritain Nap [50018] | $2,916 |
| Aetna [5000] | Aetna Nap [50014] | $2,916 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $2,916 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $3,029 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Hpn [40034] | $3,029 |
| Aetna [5000] | Aetna Indemnity [50009] | $3,259 |
| Blue Cross Blue Shield [4000] | Bc Kc Federal [40012] | $3,430 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care [40017] | $3,430 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue [40018] | $3,430 |
| Blue Cross Blue Shield [4000] | Bc Kc Preferred Care Blue Exchange [40 | $3,430 |
| Blue Cross Blue Shield [4000] | Bc Of Ks Exchange HMO [40026] | $3,430 |
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