CT abdomen and pelvis with contrast at Gouverneur Hospital. CPT 74177.
What Gouverneur Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,773cash price (self-pay)
$4,266list price
$204–$204range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Care New York | Medicaid | $204 |
Billed more than this?
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