CT abdomen and pelvis with contrast at Harlem Hospital Center. CPT 74177.
What Harlem Hospital Center publishes for this service, straight from its standard-charges file, last updated September 5, 2026.
Outpatient / ER
$423cash price (self-pay)
$1,343list price
$1.00–$1,290range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MEDICARE ADVANTAGE | $250 |
| MetroPlus | Essential Plan 1-2 | $337 |
| MetroPlus | Essential Plan 3-4 | $337 |
| MetroPlus | Essential Plan 200-250 | $337 |
| Emblem | Hip_ghi_chp | $343 |
| Fidelis | MAP | $359 |
| Anthem | Medicare Advantage | $423 |
| Senior Whole Health | MLTC | $429 |
| Amidacare | Managed Medicaid | $435 |
| Centerlight | PACE | $435 |
| Elderplan | MAP_Medicare Advantage_MLTC | $435 |
| Aetna | ALL PRODUCTS | $447 |
| Anthem HealthPlus | EXCHANGE | $453 |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $453 |
| Carelon | Managed Medicaid_HARP_CHP | $453 |
| Carelon | GHI BMP | $453 |
| Carelon | Commercial_Essential Plans | $453 |
| Affinity | HARP_Managed Medicaid | $462 |
| Carelon (Amida Care) | Managed Medicaid | $462 |
| Affinity | CHP | $475 |
| Anthem HealthPlus | CHP | $498 |
| EMBLEM | Essential Plan 3-4 | $566 |
| EMBLEM | HARP_Managed Medicaid | $566 |
| EMBLEM | Essential Plan 1-2 | $611 |
| Emblem | Essential Plan 200-250 | $611 |
| ANTHEM | Blue Access Small Group | $738 |
| ANTHEM | Small Group EPO_PPO | $738 |
| ANTHEM | Blue Access Large Group | $761 |
| Anthem | HMO | $822 |
| Anthem | PPO | $822 |
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