CT abdomen and pelvis with contrast at Crouse Hospital. CPT 74177.
What Crouse Hospital publishes for this service, straight from its standard-charges file, last updated May 19, 2026.
Outpatient / ER
$1,507cash price (self-pay)
$1,507list price
$95.66–$1,837range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Brighton Healthplan | Medicaid | $314 |
| Excellus | Govt Programs/ Special Products | $314 |
| Fidelis | Medicaid HMO | $314 |
| Healthfirst Health plan | Medicaid, Essential Plan 3&4, Medicaid Harp, | $314 |
| Healthfirst Health plan | Medicare Advantage and Medicaid Advantage pl | $314 |
| MOLINA | Medicaid HMO | $314 |
| United Healthcare | Medicaid | $314 |
| United Healthcare | Essential Plans 1 -4 | $314 |
| WellCare | Medicaid Essential Plan 3 and 4 | $314 |
| MYCompass | Medicaid | $324 |
| Healthfirst Health plan | Essential Plan 1 & 2 and Qualified Health Pl | $346 |
| WellCare | Medicaid Essential Plan 1 and 2 | $377 |
| Excellus | Medicare Advantage | $380 |
| Aetna | Medicare | $435 |
| Brighton Healthplan | Medicare Advantage | $435 |
| CDPHP | Medicare Advantage | $435 |
| EmblemHealth | Medicare Advantage | $435 |
| Fidelis | Medicare | $435 |
| HUMANA INC. | Medicare Advantage | $435 |
| Martins Point | Medicare Advantage | $435 |
| MVP | Medicare | $435 |
| Nascentia | Medicare Advantage | $435 |
| United Healthcare | Medicare | $435 |
| MYCompass | Medicare Advantage | $449 |
| WellCare | Medicare Advantage | $457 |
| Aetna | COMMERICAL | $534 |
| Aetna | Raymour Furniture Company | $534 |
| MVP | Commercial- Individual | $626 |
| MVP | Student | $626 |
| Fidelis | Exchange EPP | $640 |
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