CT abdomen and pelvis with contrast at Mount Sinai South Nassau. CPT 74177.
What Mount Sinai South Nassau publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$435–$889range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $435 |
| Cigna | LocalPlus | $671 |
| Cigna | HMO/OAP | $808 |
| Oxford | Commercial | $846 |
| Cigna | PPO | $889 |
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