CT abdomen and pelvis with contrast at Overlook Medical Center. CPT 74177.
What Overlook Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$477cash price (self-pay)
$4,187list price
$184–$4,187range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carisk Worker'S Comp [5501] | Omc Carisk Imaging | $184 |
| Cigna Local Plus [5340] | Omc Cigna Local Plus | $185 |
| Allied Benefit Systems [5046] | Omc Cigna PPO | $218 |
| Centivo [5405] | Omc Cigna PPO | $218 |
| Cigna Behavioral Health PPO [5323] | Omc Cigna PPO | $218 |
| Cigna Great West [5305] | Omc Cigna Oap | $218 |
| Cigna [5012] | Omc Cigna Oap | $218 |
| Cigna [5012] | Omc Cigna PPO | $218 |
| Cigna Health Partners [5342] | Omc Cigna Oap | $218 |
| Evolution Healthcare [5438] | Omc Cigna Oap | $218 |
| Healthez [5445] | Omc Cigna Oap | $218 |
| Iaa - Insurance Administrators Of America [5482] | Omc Cigna PPO | $218 |
| First Managed Care Option [5109] | First Mco Wc Preferred | $226 |
| 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] | Omc Aetna Whole Health | $414 |
| 1199 Seiu Benefit And Pension [5037] | Omc Aetna | $530 |
| Aetna Behavioral Health [5321] | Omc Aetna | $530 |
| Aetna [5002] | Omc Aetna | $530 |
| Allied Benefit Systems [5046] | Omc Aetna | $530 |
| Banner Health Network [5510] | Omc Aetna | $530 |
| Boon-Chapman [5441] | Omc Aetna | $530 |
| Christian Brothers Services [5439] | Omc Aetna | $530 |
| Continental Assurance [5091] | Omc Aetna | $530 |
| Evolution Healthcare [5438] | Omc Aetna | $530 |
| Healthez [5445] | Omc Aetna | $530 |
| Healthsmart Benefit Solutions [5446] | Omc Aetna | $530 |
| Luminare Health Benefits [5483] | Omc Aetna | $530 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.