CT abdomen and pelvis with contrast at richmonduniversitymedicalcenter. CPT 74177.
What richmonduniversitymedicalcenter publishes for this service, straight from its standard-charges file, last updated August 6, 2026.
Outpatient / ER
—cash price (self-pay)
$4,669list price
$2.35–$2,577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | EPO PPO | $2.35 |
| Empire | Indemnity | $218 |
| Empire | HMO | $218 |
| Empire | HealthPlus Medicaid | $231 |
| Healthfirst | Managed Medicaid | $232 |
| Healthfirst | Medicare Advantage | $252 |
| Beacon Health | Managed Medicaid | $258 |
| Beacon Health | Medicare Advantage/ Health Exchange | $258 |
| Local 1199 | Local 1199 | $318 |
| MetroPlus | Managed Medicaid | $338 |
| UHC | Medicare Advantage | $414 |
| Healthfirst | CHP | $427 |
| Healthfirst | QHP | $427 |
| Aetna | Medicare Advantage | $435 |
| Affinity | Medicare Advantage | $435 |
| Centerlight Healthcare | Medicare Advantage | $435 |
| Elderplan | Medicare Advantage | $435 |
| Emblem | Medicare Advantage - HIP & GHI | $435 |
| Empire | Medicare Advantage | $435 |
| Fidelis | Medicare Advantage | $435 |
| MetroPlus | Medicare Advantage | $435 |
| Amerigroup | Medicare Advantage | $444 |
| Humana | Medicare Advantage | $444 |
| Amerigroup | Managed Medicaid | $450 |
| Amida Care | Managed Medicaid | $450 |
| Emblem | Managed Medicaid - HIP & GHI | $450 |
| Fidelis | Managed Medicaid | $450 |
| ArchCare | Medicare Advantage | $457 |
| Partners Health Plan | Medicare Advantage | $457 |
| Empire | HealthPlus ALIESSA | $461 |
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