CT abdomen and pelvis with contrast at Arnot Ogden Medical Center. CPT 74177.
What Arnot Ogden Medical Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$1,367cash price (self-pay)
$6,834list price
$69.44–$6,834range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| FIDELIS | Managed Medicaid_Aliessa and CHP | $109 |
| FIDELIS | Essential Plan QHP | $191 |
| Empire | All Products Non MD | $244 |
| AmeriHealth | All Products | $263 |
| Empire | All Products MD | $287 |
| Aetna | Medicare Advantage | $356 |
| Excellus BCBS | Medicare Advantage | $356 |
| Geisinger | Medicare Advantage | $364 |
| FIDELIS | Health Benefit Exchange | $392 |
| Excellus BCBS | All Products | $3,275 |
| Geisinger | All Products | $3,976 |
| UMR Pomco | All Products | $4,920 |
| Aetna | All Products | $4,988 |
| EMBLEM/GHI | All Products | $6,014 |
| Humana | All Products | $6,150 |
| UHC | All Products | $6,834 |
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