CT abdomen and pelvis with contrast at Bertrand Chaffee Hospital. CPT 74177.
What Bertrand Chaffee Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$102cash price (self-pay)
$120list price
$65.41–$570range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp/United Healthcare | Aarp/United Healthcare | $81.64 |
| Cigna Medicare | Cigna | $81.64 |
| Mutual Of Omaha | Mutual Of Omaha | $81.64 |
| Lifetime Benefits | Lifetime Benefits | $81.64 |
| Aetna Medicare | Aetna Medicare | $81.64 |
| Todays Option - Amer Prog | Todays Option - Amer Prog | $81.64 |
| Geisinger Health Plan | Geisinger Health Plan | $81.64 |
| Optimum Healthcare - Mcr | Optimum Healthcare - Mcr | $81.64 |
| Advantra-Mcr Advantage | Advantra-Mcr Advantage | $81.64 |
| Centers Plan Hlty Living | Centers Plan Hlty Living | $81.64 |
| Humana Medicare | Humana Gold | $81.64 |
| Wellcare | Wellcare | $81.64 |
| United Hc Mcr Solutions | United Hc Mcr Solutions | $81.64 |
| Mvp Medicare Advantage | Mvp Medicare Advantage | $81.64 |
| Ctrs Plan For Hlthy Livng | Ctrs Plan For Hlthy Livng | $81.64 |
| Coventry Medicare Health | Coventry Medicare Health | $81.64 |
| Fidelis Medicare | Fidelis Medicare | $81.64 |
| Champva | Champva | $81.64 |
| Wps Tricare For Life | Wps Tricare For Life | $81.64 |
| Va Optum Community Care | Va Optum Community Care | $81.64 |
| Univera Plus Med | Univera Plus Med | $190 |
| Univera Hc Child Health+ | Univera Hc Child Health+ | $190 |
| Univera Hc Myhealth+ | Univera Hc Myhealth+ | $190 |
| Univera Essential Plans | Univera Essential Plan | $190 |
| Univera Essential Plans | Univera Essential Plans | $190 |
| Univera Senior Choice | Univera Senior Choice | $224 |
| Private Pay | Private Pay | $242 |
| Blue Cross Of Western NY | Bc Of Wny HMO | $244 |
| Blue Cross Of Western NY | Bc Of Wny PPO | $244 |
| Wny BCBS Essential Plan | Wny BCBS Essential Plan | $244 |
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