CT abdomen and pelvis with contrast at O'Connor Hospital. CPT 74177.
What O'Connor Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$143cash price (self-pay)
$2,915list price
$65.41–$6,823range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cdphp | Managed Medicaid | $65.41 |
| Mvp | Managed Medicaid | $65.41 |
| Cdphp | Essentials | $245 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $904 |
| BCBS | Anthem Medicare Advantage | $991 |
| Emblem | Medicare Advantage | $991 |
| United Healthcare | Madicare Advantage | $991 |
| Cdphp | Medicare Advantage | $1,021 |
| Mvp | Medicare Advantage | $1,021 |
| BCBS | Excellus Blue Medicare Advantage | $1,041 |
| Fidelis | Medicare Advantage | $1,060 |
| Humana | Medicare Advantage | $1,070 |
| Aetna | Medicare Advantage | $1,117 |
| BCBS | Excellus | $1,673 |
| Fidelis | Managed Medicaid | $1,908 |
| BCBS | Excellus Blue | $2,040 |
| BCBS | Highmark | $2,040 |
| BCBS | Empire Exchange | $2,332 |
| BCBS | Empire Managed Medicaid | $2,332 |
| Aetna | Signature | $2,478 |
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