CT abdomen and pelvis with contrast at Auburn Community Hospital. CPT 74177.
What Auburn Community Hospital publishes for this service, straight from its standard-charges file, last updated January 19, 2025.
Outpatient / ER
$970cash price (self-pay)
$2,155list price
$108–$1,358range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis_0000 | Fidelis Ip And Op No Rate Code | $108 |
| Nysdoh_0000 | NY Mcaid Ip And Op No Rate Code | $108 |
| United-Ep/Chp_0000 | United Essential-Chip Ip And Op No Rate Code | $113 |
| United_0000 | United Community Ip And Op No Rate Code | $113 |
| Fidelis-Ep_0000 | Fidelis Essential Plan 1-2 Ip And Op No Rate Code | $189 |
| Excellus-Bc_medicaid | Excellus Blue Cross Special Programs | $281 |
| Fidelis_1400 | Fidelis Clinic | $337 |
| Nysdoh_1400 | NY Medicaid Clinic Episode | $337 |
| Fidelis_1402 | Fidelis Emergency Room | $340 |
| Nysdoh_1402 | NY Medicaid Emergency Room | $340 |
| United_1400 | United Community Clinic | $353 |
| United_1402 | United Community Emergency Room | $357 |
| Fideliscare_0000 | Fideliscare Marketplace Ip And Op No Rate Code | $385 |
| Fideliscare_1400 | Fideliscare Marketplace Clinic | $385 |
| Fideliscare_1401 | Fideliscare Marketplace Ambulatory Surgery | $385 |
| Fideliscare_1402 | Fideliscare Marketplace Emergency Room | $385 |
| Martins_point | Martins Point | $399 |
| Fidelis_1401 | Fidelis Ambulatory Surgery | $423 |
| Nysdoh_1401 | NY Medicaid Ambulatory Surgery | $423 |
| United-Ep/Chp_1401 | United Essential-Chip Ambulatory Surgery | $444 |
| United_1401 | United Community Ambulatory Surgery | $444 |
| Aetna_mcarehmo | Aetna Medicare HMO | $453 |
| Excellus-Bc_mcareadv | Excellus Bluecross Medicare Advantage | $453 |
| Fidelis_mcare_adv | Fidelis Medicare Advantage Plan | $453 |
| Humana_mcare_adv | Humana Gold Plus Medicare HMO | $453 |
| Medicare | Auburn Medicare | $453 |
| Mvp-Medicare_adv | Mvp Medicare Advantage | $453 |
| Tricare | Tricare | $453 |
| Uhc_mcare_adv | UHC Medicare Complete Choice | $453 |
| Aetna | Aetna | $643 |
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