CT abdomen and pelvis with contrast at Soldiers & Sailors Memorial Hospital. CPT 74177.
What Soldiers & Sailors Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 27, 2026.
Outpatient / ER
$626cash price (self-pay)
$1,565list price
$458–$1,252range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus Blue Choice Options | Managed Medicaid | $458 |
| Emblem | Commercial | $546 |
| United Healthcare | Medicare Advantage | $610 |
| Wellcare | Medicare Advantage | $610 |
| Excellus Blue Choice | Medicare Advantage | $642 |
| Aetna | Medicare Advantage | $689 |
| Aetna | Commercial | $689 |
| MVP Health Care | Commercial | $689 |
| Fidelis | Medicare Advantage | $706 |
| Excellus Blue Cross | Commercial | $720 |
| United Healthcare | Commercial | $1,252 |
Inpatient
$626cash price (self-pay)
$1,565list price
—range insurers pay
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