CT abdomen and pelvis with contrast at NYU Langone Tisch Hospital. CPT 74177.
What NYU Langone Tisch Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,568cash price (self-pay)
$8,252list price
$226–$10,984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthfirst | HEALTHFIRST CHILD HEALTH PLUS 1080 | $226 |
| Healthfirst | HEALTHFIRST MEDICAID 1084 | $226 |
| Fidelis | FIDELIS CARE CHILD HEALTH PLUS 1059 | $231 |
| Fidelis | FIDELIS CARE MEDICAID MANAGED CARE 1062 | $231 |
| Healthplus | BCBS HEALTHPLUS NY CHILD HEALTH PLUS NY 1090 | $231 |
| Healthplus | BCBS HEALTHPLUS NY MEDICAID MANAGED CARE NY 1092 | $231 |
| 1199 | Local 1199 Nyu Member Choice 1000 | $318 |
| 1199 | Local 1199 PPO 1001 | $318 |
| UHC | United Healthcare Community Medicaid HMO 1024 | $379 |
| Medicaid | CARE PLUS 1036 | $379 |
| Hip | Hip Child Health Plus 1096 | $379 |
| Hip | Hip Medicaid-Enhanced Care 1098 | $379 |
| Medicare | AETNA MEDICARE MANAGED CARE 1007 | $423 |
| Medicare | CHAMPUS UNYSIS CORP 1041 | $423 |
| Medicare | FIDELIS CARE MEDICARE 1061 | $423 |
| Ghi | Ghi Medicare Supplement 1070 | $423 |
| Ghi | Ghi Emblem Health Medicare HMO 1072 | $423 |
| Ghi | Ghi Emblem Health Medicare PPO 1074 | $423 |
| Hip | Hip Vip Medicare Prime 1099 | $423 |
| UHC | United Healthcare Community Child Health Plus 1022 | $455 |
| Hip | Hip HMO 1071 | $637 |
| Hip | Hip Lich 1094 | $637 |
| Hip | Hip Health Plan Of NY 1095 | $637 |
| Hip | Hip HMO 1097 | $637 |
| Hip | Hip POS 1100 | $637 |
| Cigna | CIGNA INDEMNITY 1045 | $661 |
| Cigna | CIGNA MANAGED CARE/POS 1046 | $661 |
| Cigna | CIGNA PPO 1047 | $661 |
| Cigna | CIGNA PREMIER PLUS 1048 | $661 |
| UHC | Apwu Health Plan 1027 | $1,120 |
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