CT abdomen and pelvis with contrast at Mount Sinai Hospital. CPT 74177.
What Mount Sinai Hospital 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
$278–$2,271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 1199 SEIU | Commercial | $318 |
| Aetna | Medicare Advantage | $435 |
| Horizon BCBS | Non Omnia | $459 |
| Horizon BCBS | Omnia | $459 |
| Oxford | Commercial | $602 |
| United Healthcare | Commercial | $602 |
| Cigna | HMO/OAP | $650 |
| Cigna | LocalPlus | $671 |
| Empire | Individual Network | $743 |
| Cigna | PPO | $889 |
| Empire | PPO | $1,543 |
| Empire | Small Group | $1,543 |
| Empire | Connection | $1,861 |
| Empire | Blue Access | $1,971 |
| Empire | Blue Priority HMO | $2,190 |
| Empire | Blue Priority PPO | $2,190 |
| Empire | HMO | $2,190 |
| Empire | Indemnity | $2,271 |
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