CT abdomen and pelvis with contrast at Hackettstown Medical Center. CPT 74177.
What Hackettstown Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$449cash price (self-pay)
$14,581list price
$184–$11,817range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carisk Worker'S Comp [5501] | Hmc Carisk Imaging | $184 |
| Cigna Local Plus [5340] | Hmc Cigna Local Plus | $185 |
| Cigna Great West [5305] | Hmc Cigna Oap | $218 |
| Cigna [5012] | Hmc Cigna Oap | $218 |
| Cigna Health Partners [5342] | Hmc Cigna Oap | $218 |
| Evolution Healthcare [5438] | Hmc Cigna Oap | $218 |
| Healthez [5445] | Hmc Cigna Oap | $218 |
| First Managed Care Option [5109] | First Mco Wc Preferred | $226 |
| Allied Benefit Systems [5046] | Hmc Cigna PPO | $240 |
| Centivo [5405] | Hmc Cigna PPO | $240 |
| Cigna Behavioral Health PPO [5323] | Hmc Cigna PPO | $240 |
| Cigna [5012] | Hmc Cigna PPO | $240 |
| Iaa - Insurance Administrators Of America [5482] | Hmc Cigna PPO | $240 |
| Inservco Workers Compensation [5158] | Medlogix/Chn Workers Comp Prefe | $303 |
| Medlogix/Consumer Health Network (Chn) [5415] | Medlogix/Chn Workers C | $303 |
| Gallagher Bassett Workers Comp [5117] | Qual-Lynx Wc Preferred | $383 |
| Liberty Mutual Worker'S Comp [5174] | Qual-Lynx Wc Preferred | $383 |
| Aetna [5002] | Hmc Aetna Whole Health | $494 |
| Apwu Healthcare [5053] | United Non-Tertiary | $602 |
| Geha [5119] | United Non-Tertiary | $602 |
| Golden Rule Insurance [5124] | United Non-Tertiary | $602 |
| Harvard Pilgrim Healthcare [5133] | United Non-Tertiary | $602 |
| 1199 Seiu Benefit And Pension [5037] | Hmc Aetna | $633 |
| Aetna Behavioral Health [5321] | Hmc Aetna | $633 |
| Aetna [5002] | Hmc Aetna | $633 |
| Allied Benefit Systems [5046] | Hmc Aetna | $633 |
| Banner Health Network [5510] | Hmc Aetna | $633 |
| Boon-Chapman [5441] | Hmc Aetna | $633 |
| Christian Brothers Services [5439] | Hmc Aetna | $633 |
| Continental Assurance [5091] | Hmc Aetna | $633 |
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