CT abdomen and pelvis with contrast at Garnet Health Medical Center. CPT 74177.
What Garnet Health Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$620cash price (self-pay)
$2,478list price
$435–$2,150range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $435 |
| Fidelis | Medicare Managed Care Plan | $444 |
| Wellcare | Medicare Managed Care Plan | $446 |
| Unitedhealthcare | All Commercial Plans | $589 |
| Unitedhealthcare | Oxford Other Commercial Plan | $589 |
| Rojw | Health Care Support Other Commercial Plan | $762 |
| Magnacare | All Commercial Plans | $811 |
| Aetna | All Commercial Plans | $832 |
| Local 1199 | All Commercial Plans | $832 |
| Mvp | All Commercial Plans | $834 |
| Northwell Direct | All Commercial Plans | $893 |
| Geisinger Health Plan | All Commercial Plans | $1,089 |
| Emblem Health | All Commercial Plans | $1,154 |
| Blue Cross | Hmo | $1,470 |
| Blue Cross | Ppo | $2,150 |
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