CT abdomen and pelvis with contrast at Cayuga Medical Center. CPT 74177.
What Cayuga Medical Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$773cash price (self-pay)
$3,864list price
$109–$3,709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis | Managed Medicaid _ Aliessa_QHP | $109 |
| Fidelis | Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP | $109 |
| Molina | Managed Medicaid _HARP - CHP | $109 |
| Molina | Managed Medicaid_Essential Plan 1-4 | $245 |
| Martins Point | Tricare | $435 |
| Aetna | Medicare Advantage | $435 |
| Excellus | Medicare Advantage | $435 |
| Wellcare | Medicare Advantage Today's Options | $470 |
| Aetna | Student Health Plans | $2,886 |
| Aetna | All Products | $2,964 |
| Excellus | All Products | $3,012 |
| MVP Cigna | All Products | $3,215 |
| UMR Pomco | All Products | $3,516 |
| Emblem Health | All Products | $3,594 |
| Independent Health | All Products | $3,709 |
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