CT abdomen and pelvis with contrast at Centrastate Medical Center. CPT 74177.
What Centrastate Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$455cash price (self-pay)
$5,672list price
$185–$5,672range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Local Plus [5340] | Csmc Cigna Local Plus | $185 |
| Cigna [5012] | Csmc Cigna | $218 |
| Evolution Healthcare [5438] | Csmc Cigna | $218 |
| Healthez [5445] | Csmc Cigna | $218 |
| Tufts Health Plan [5344] | Csmc Cigna | $218 |
| Inservco Workers Compensation [5158] | Medlogix/Chn Workers Comp Prefe | $303 |
| Medlogix/Consumer Health Network (Chn) [5415] | Medlogix/Chn Workers C | $303 |
| Horizon Bcbsnj Braven Health Ip Splits [5477] | Csmc Horizon Braven | $395 |
| Highmark Community Blue Medicare [5534] | Csmc Horizon Braven | $395 |
| Claimdoc [5434] | Csmc Claimdoc Plan | $395 |
| Aetna Centrastate Employee [5425] | Csmc Aetna Ahs Employee | $395 |
| Aetna Medicare [5003] | Csmc Aetna Nnj Prime | $395 |
| Compassionate Care [5442] | Csmc Compassionate Care | $395 |
| Cigna Totalcare (HMO D-Snp) Ip Splits [5465] | Csmc Cigna Medicare | $395 |
| Cs Radiology Cash Pay [5498] | Csmc Self Pay | $395 |
| Claim Watcher/Homestead [5488] | Csmc Claim Watcher Tier 1 | $395 |
| Cosmetic Surgery/Lap Band/Gastric Bypass [5289] | Csmc Self Pay | $395 |
| Wellcare Behavioral Health [5335] | Csmc Wellcare/Fedelis Medicare | $395 |
| Cs Pulmonary Rehab Cash Pay [5496] | Csmc Self Pay | $395 |
| Cs Nutrition Consult-Initial And Follow Up [5493] | Csmc Self Pay | $395 |
| Untd Hlth Medicare [5035] | Csmc United Medicare | $395 |
| Aetna Assure Premier Plus Ip Splits [5466] | Csmc Aetna Medicare | $395 |
| Horizon BCBS Out Of State Medicare Ip Splits [5461] | Csmc Horizon Bra | $395 |
| Aetna [5002] | Csmc Aetna Whole Health | $421 |
| Horizon Bcbsnj [5019] | Csmc Horizon Omnia | $422 |
| The Fairly Group [5528] | Occunet Primary | $424 |
| Horizon Bcbsnj [5019] | Csmc Horizon Shbp | $440 |
| Horizon Bcbsnj [5019] | Csmc Horizon Commercial | $459 |
| Anthem Bcbsny HMO PPO POS [5310] | Csmc Horizon Commercial | $459 |
| Nippon Benefit Life [5201] | Csmc Aetna | $539 |
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