CT abdomen and pelvis with contrast at Mount Sinai Queens. CPT 74177.
What Mount Sinai Queens 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
$82.90–$1,243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MetroPlus | Essential Plan 1-2 | $212 |
| MetroPlus | Essential Plan 3-4 | $212 |
| MetroPlus | Exchange | $212 |
| MetroPlus | Medicaid Advantage | $212 |
| MetroPlus | Medicare Advantage | $212 |
| 1199 SEIU | Commercial | $318 |
| Aetna | Medicare Advantage | $435 |
| Cigna | LocalPlus | $671 |
| Cigna | HMO | $808 |
| Empire | Small Group | $838 |
| Oxford | Commercial | $846 |
| Cigna | PPO | $889 |
| Empire | Connection | $934 |
| Empire | Blue Priority PPO | $986 |
| Empire | HMO | $986 |
| Empire | Blue Access | $989 |
| Empire | PPO | $1,164 |
| Empire | Indemnity | $1,243 |
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