CT abdomen and pelvis with contrast at Columbia Memorial Health. CPT 74177.
What Columbia Memorial Health publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$157cash price (self-pay)
$313list price
$35.72–$1,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | EssentialNonAliessa_Ancillary Providers_FAC | $75.91 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_FAC | $89.30 |
| Aetna | Medicare_FAC | $91.98 |
| Aetna | Medicare_NONFAC | $91.98 |
| Aetna | All Products_NONFAC | $129 |
| Aetna | All Products_FAC | $129 |
| CDPHP | All Products-Labcorp | $358 |
| CDPHP | All Products-High Deductible Plan | $358 |
| BCBS_Empire HealthChoice | Medicare Advantage | $403 |
| MVP | Medicare Advantage | $403 |
| BCBS_Empire HealthChoice | Blue Access Small Group | $415 |
| CDPHP | Medicare Advantage | $423 |
| Fidelis | Medicare Advantage | $423 |
| BCBS_Empire HealthChoice | Managed Medicaid | $433 |
| Fidelis | Medicaid Managed Care | $433 |
| MVP Medicaid Managed | Managed Medicaid_HARP_Child Health Plus | $433 |
| Aetna Government Program | Medicare Advantage | $435 |
| CDPHP | Managed Medicaid | $442 |
| BCBS_Empire HealthChoice | Blue Access Large Group | $443 |
| Fidelis | Health Benefit Exchange | $444 |
| Emblem | Medicare Advantage | $448 |
| BCBS_Empire HealthChoice | Individual Plan | $472 |
| BCBS_Empire HealthChoice | Commercial All Products | $522 |
| Empire Plan NYSHIP | All Products | $522 |
| Hamaspik | Medicare Advantage | $589 |
| MagnaCare | All Products | $597 |
| United Healthcare | All Products | $607 |
| Blue Shield | Medicare | $614 |
| Herrington Diversified PDH | Commercial_All Products | $634 |
| Blue Shield | Indemnity | $653 |
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