CT abdomen and pelvis with contrast at Niagara Falls Memorial Medical Center. CPT 74177.
What Niagara Falls Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated June 17, 2026.
Outpatient / ER
$712cash price (self-pay)
$1,018list price
$254–$446range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Medicare Advantage | $254 |
| Aetna | Commercial | $262 |
| Univera | Commercial | $269 |
| Univera | Medicare Managed Care | $269 |
| Blue Cross Blue Shield | Indemnity | $305 |
| Fidelis | Medicare Advantage | $412 |
| Fidelis | Health Benefit Exchange | $433 |
| Independent Health Assoc | HMO | $433 |
| Independent Health Assoc | Medicare Adv | $433 |
| Independent Health Assoc | PPO | $433 |
| Independent Health Assoc | Self Funded | $433 |
| Independent Health Assoc | State Products | $433 |
| United Healthcare | Medicare Advantage | $433 |
| Aetna | Medicare | $442 |
| Humana | Commercial | $446 |
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All common services at Niagara Falls Memorial Medical Center