CT abdomen and pelvis with contrast at Little Falls Hospital. CPT 74177.
What Little Falls Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$143cash price (self-pay)
$2,552list price
$65.41–$6,823range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Empire Managed Medicaid | $65.41 |
| Cdphp | Managed Medicaid | $65.41 |
| Emblem | Managed Medicaid | $65.41 |
| Mvp | Managed Medicaid | $67.70 |
| Mvp | Managed Medicaid Essential | $131 |
| Fidelis | Managed Medicaid Essential | $147 |
| Cdphp | Essentials | $218 |
| Emblem | Medicare Advantage | $715 |
| United Healthcare | Madicare Advantage | $715 |
| Cdphp | Medicare Advantage | $736 |
| Mvp | Medicare Advantage | $736 |
| BCBS | Excellus Blue Medicare Advantage | $750 |
| BCBS | Highmark Medicare Advantage | $765 |
| Fidelis | Medicare Advantage | $765 |
| Humana | Medicare Advantage | $772 |
| BCBS | Excellus Essential | $791 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $791 |
| BCBS | Anthem Medicare Advantage | $817 |
| Aetna | Medicare Advantage | $834 |
| BCBS | Excellus Medicare Advantage | $1,469 |
| BCBS | Empire Exchange | $2,042 |
| BCBS | Highmark | $2,042 |
| Cigna | Mvp | $2,170 |
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