CT abdomen and pelvis with contrast at Novant Health Medical Park Hospital. CPT 74177.
What Novant Health Medical Park Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$290–$677range 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 | $338 |
| Humana | Medicare | $338 |
| Pace of the Southern Piedmont | All Plans | $338 |
| United Healthcare | Medicare | $338 |
| Aetna | Medicare | $347 |
| Cigna | HealthSpring | $349 |
| Liberty Health | Medicare HMO | $355 |
| NC Department of Public Safety | Offenders Not Medicaid eligible | $677 |
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