CT abdomen and pelvis with contrast at Bayonne University Hospital. CPT 74177.
What Bayonne University Hospital publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
—cash price (self-pay)
$9,500list price
$229–$3,354range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Community & State | $229 |
| Wellpoint | Medicaid Managed Care | $252 |
| Cigna | Medicare Advantage | $290 |
| Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $292 |
| Clover | Medicare Advantage | $394 |
| Blue Cross Blue Shield of New Jersey (Horizon) | Medicare Advantage | $414 |
| Longevity Health Plan of New Jersey | Medicare Advantage | $414 |
| UnitedHealthcare | Medicare Advantage | $414 |
| Wellcare | Medicare Advantage | $414 |
| Humana | Medicare Advantage | $427 |
| Cigna | Commercial | $831 |
| Aetna | Commercial | $1,127 |
| EmblemHealth | Commercial | $1,243 |
| Aetna | Medicare Advantage | $1,343 |
| Qualcare | PPO/HMO/WC | $1,425 |
| Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $1,496 |
| Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $1,496 |
| Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $1,496 |
| Oxford | Commercial | $2,443 |
| MagnaCare | PPO/Direct Plus/Exchange/WC | $2,850 |
| UnitedHealthcare | Commercial | $3,354 |
Inpatient
—cash price (self-pay)
$9,500list price
$1,425–$1,425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Qualcare | PPO/HMO/WC | $1,425 |
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