CT abdomen and pelvis with contrast at Novant Health Matthews Medical Center. CPT 74177.
What Novant Health Matthews Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$2,820cash price (self-pay)
$5,640list price
$290–$5,471range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBSFL | Advantage65 | $290 |
| BCBSFL | BlueCare | $290 |
| BCBSFL | BlueMedicare HMO | $290 |
| BCBSFL | BlueMedicare PPO | $290 |
| BCBSFL | BlueSelect | $290 |
| Bcbsfl | HMO | $290 |
| BCBSFL | BlueOptions | $327 |
| BCBSFL | CoverFL | $327 |
| BCBSFL | GoBlue | $327 |
| BCBSFL | NetworkBlue | $327 |
| BCBSFL | BlueChoice | $337 |
| BCBSFL | Essential Network | $337 |
| Bcbsfl | Fep | $337 |
| Bcbsfl | Ppc | $337 |
| Bcbsfl | PPO | $337 |
| BCBSFL | Traditional (PPSPHS) | $337 |
| Blue Cross NC | Blue Medicare | $339 |
| Humana | Medicare | $339 |
| Aetna | Medicare | $348 |
| Cigna | HealthSpring | $349 |
| Liberty Health | Medicare HMO | $356 |
| Carolina Complete | Medicaid | $734 |
| AmeriHealth | Medicaid | $748 |
| Blue Cross NC | Healthy Blue Medicaid | $748 |
| Blue Cross NC | Blue Home | $1,827 |
| Caresource North Carolina | Qualified Health Plan | $1,861 |
| Atlantic Corporation DBA Atlantic Packaging | All Plans | $2,594 |
| Blue Cross NC | Blue Value | $2,685 |
| Cigna | Commercial | $2,905 |
| Aetna | Commercial | $2,961 |
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All common services at Novant Health Matthews Medical Center