CT abdomen and pelvis with contrast at Angel Medical Center. CPT 74177.
What Angel Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$9,586cash price (self-pay)
$9,586list price
$289–$8,627range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | MCD | $289 |
| One Call Medical | COMM | $300 |
| One Call Medical | WORKERSCOMP | $300 |
| BCBS | Mcr | $1,630 |
| BCBS | Mgmcd | $1,715 |
| United | BHMGMCD | $1,741 |
| WellCare | MGMCD | $1,767 |
| AmeriHealth | MGMCD | $1,784 |
| Partners Health Management | MGMCD | $1,800 |
| Vaya Health | MedicaidDirect | $1,800 |
| Vaya Health | MedicaidTailoredPlan | $1,800 |
| Apex Health | MCR | $1,917 |
| Aetna | MCR | $2,109 |
| United | AllPayerAppendix | $3,259 |
| Cigna | Hix | $3,326 |
| Cigna | Ifp | $3,326 |
| CIGNA | NewBusiness | $3,326 |
| United | OptionsPPO | $3,700 |
| AmeriHealth Caritas | Commercial-Exchange | $3,738 |
| Caresource | Hix | $4,218 |
| United | GlobalBenefitPlanAppendix | $4,314 |
| MedCost | ULTRARATE | $4,851 |
| MedCost | STANDARD | $4,963 |
| CIGNA | ExistingBusiness | $5,483 |
| Aetna | COMM | $6,001 |
| Multiplan | COMM | $7,669 |
| Avalon Administrative Services | COMM | $8,148 |
| Prime Health | COMM | $8,435 |
| Prime Health | WCOMP | $8,435 |
| Prime Health | INDIGENTCARE | $8,627 |
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