CT abdomen and pelvis with contrast at Nassau University Medical Center. CPT 74177.
What Nassau University Medical Center publishes for this service, straight from its standard-charges file, last updated October 28, 2025.
Outpatient / ER
$844cash price (self-pay)
$1,445list price
$80.33–$1,445range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Care | Child Health Plus | $206 |
| Fidelis Care | Managed Medicaid | $206 |
| Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | $218 |
| Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | $218 |
| Molina Healthcare (FKA Affinity) | Managed Medicaid | $218 |
| Aetna | Commercial | $303 |
| Centers Plan for Healthy Living | Medicare Advantage | $304 |
| Fidelis Care | Medicare Advantage | $304 |
| Fidelis Care | Essential Plan | $320 |
| Fidelis Care | Health Benefit Exchange | $335 |
| Cigna | Commercial | $349 |
| Humana | Medicare Advantage | $386 |
| EmblemHealth | Medicare Advantage | $401 |
| Aetna | Medicare Advantage | $423 |
| Blue Cross Blue Shield | Medicare Advantage | $423 |
| United Healthcare | Medicare Advantage | $423 |
| United Healthcare | VACCN | $423 |
| EmblemHealth | Commercial | $450 |
| MagnaCare | Commercial | $636 |
| United Healthcare | Charter/Charter Balanced/Charter Plus | $720 |
| United Healthcare | Compass | $720 |
| United Healthcare | Core | $720 |
| Aetna Whole Health | Commercial | $794 |
| 1199SEIU National Benefit Funds | Commercial | $867 |
| United Healthcare | Commercial | $1,251 |
| Blue Cross Blue Shield | Blue Access | $1,445 |
| Blue Cross Blue Shield | Commercial/EPO/HMO/POS/PPO/Indemnity | $1,445 |
Inpatient
$1,012cash price (self-pay)
$1,445list price
—range insurers pay
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