CT abdomen and pelvis with contrast at Brooks Memorial Hospital. CPT 74177.
What Brooks Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,043cash price (self-pay)
$2,043list price
$168–$588range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Bcwyn Medicare Managed Care Plan | $184 |
| Bcbs | Highmark Hmo/Pos | $226 |
| Univera | Medicare Managed Care Plan | $235 |
| Univera | All Commercial Plans | $269 |
| Independent Health Association | Essential Other Commercial Plan | $293 |
| Independent Health Association | State - Medisource Other Commercial P | $293 |
| Humana | Medicare Managed Care Plan | $435 |
| Independent Health Association | All Commercial Plans | $446 |
| Wellcare | Medicare Managed Care Plan | $449 |
| Independent Health Association | Passport Ppo Medicare Managed Care Pl | $518 |
| Emblemhealth | All Commercial Plans | $566 |
| Nova Azero Health Plan | All Commercial Plans | $588 |
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