CT abdomen and pelvis with contrast at Albany Medical Center. CPT 74177.
What Albany Medical Center publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$60.73cash price (self-pay)
$506list price
$12.45–$4,998range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CDPHP | Medicaid_MD_FAC | $55.42 |
| CDPHP | Medicaid_MD_NONFAC | $55.42 |
| Blue Cross | EssentialNonAliessa_CSW_NONFAC | $61.13 |
| Blue Cross | EssentialNonAliessa_CSW_FAC | $61.13 |
| Blue Cross | EssentialNonAliessa_Ancillary Providers_NONFAC | $69.28 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_Ancillary Providers_FA | $69.28 |
| Blue Cross | EssentialNonAliessa_Ancillary Providers_FAC | $69.28 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_Ancillary Providers_NO | $69.28 |
| Blue Shield Highmark | Medicare_Midlevel_OFF | $78.53 |
| Blue Shield Highmark | Medicare_Midlevel_NOF | $78.53 |
| Blue Cross | EssentialNonAliessa_MD_NONFAC | $81.50 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_NONFAC | $81.50 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_FAC | $81.50 |
| Blue Cross | EssentialNonAliessa_MD_FAC | $81.50 |
| Blue Shield Highmark | Medicaid_NONFAC | $81.50 |
| Blue Shield Highmark | Medicaid_FAC | $81.50 |
| Aetna | Medicare_NONFAC | $84.76 |
| Aetna | Medicare_FAC | $84.76 |
| Blue Cross | Medicare_NONFAC | $85.48 |
| Blue Cross | Medicare_FAC | $85.48 |
| Blue Shield Highmark | Medicare_OFF | $92.39 |
| Blue Shield Highmark | Medicare_NOF | $92.39 |
| Blue Cross | Individual_FAC | $125 |
| Blue Cross | Individual_NONFAC | $125 |
| CDPHP | All Products_MD_NONFAC | $133 |
| CDPHP | All Products_MD_FAC | $133 |
| Blue Shield Highmark | All Products_Midlevel_FAC | $156 |
| Blue Shield Highmark | All Products_Midlevel_NONFAC | $156 |
| Aetna | All Products_All Other MD_NONFAC | $158 |
| Aetna | All Products_All Other MD_FAC | $158 |
Inpatient
$102cash price (self-pay)
$2,217list price
$153–$3,596range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | All Products | $1,663 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.