CT abdomen and pelvis with contrast at Community Memorial Hospital. CPT 74177.
What Community Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$2,351cash price (self-pay)
$3,418list price
$201–$2,923range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B NY Upstate JK | Default | $201 |
| Blue Cross Blue Shield NY Utica Watertown MCD Rep | Default | $854 |
| Blue Cross Blue Shield NY Utica Watertown Med Adv | Default | $871 |
| Fidelis Medicare Advantage MCR Adv | Default | $871 |
| Medicare A NY JK | Default | $871 |
| Blue Cross Blue Shield of NY Utica Watertown | Default | $2,563 |
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