CT abdomen and pelvis with contrast at Mount Sinai Brooklyn. CPT 74177.
What Mount Sinai Brooklyn publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,960cash price (self-pay)
$4,400list price
$212–$2,203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MetroPlus | Medicaid Advantage | $212 |
| MetroPlus | Medicare Advantage | $212 |
| 1199 SEIU | Commercial | $318 |
| Aetna | Medicare Advantage | $435 |
| Oxford | Commercial | $602 |
| Cigna | LocalPlus | $671 |
| Cigna | HMO/OAP | $780 |
| Cigna | PPO | $889 |
| Empire | Blue Access | $1,542 |
| Empire | Connection | $1,812 |
| Empire | Small Group | $1,815 |
| Empire | Blue Priority HMO | $2,080 |
| Empire | Indemnity | $2,100 |
| Empire | PPO | $2,112 |
| Empire | HMO | $2,135 |
| Empire | Blue Priority PPO | $2,148 |
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