CT abdomen and pelvis with contrast at Stony Brook University Hospital. CPT 74177.
What Stony Brook University Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$6,864cash price (self-pay)
$6,865list price
$433–$4,255range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $433 |
| ElderPlan | Medicare Advantage | $433 |
| Empire Blue Cross Blue Shield | Medicare Advantage | $433 |
| Fidelis Care | Medicare (Including Dual) | $433 |
| HealthFirst Health Plan | Medicare Advantage | $433 |
| United Healthcare VA | Commercial | $433 |
| United Healthcare VA Behavioral Health | Commercial | $433 |
| Aetna PPO | Medicare Advantage | $442 |
| EmblemHealth HIP of NY | Medicare Advantage | $442 |
| Agewell New York | Medicare Advantage | $477 |
| Centerlight | Commerical | $563 |
| Partners Health Plan | Commercial | $563 |
| Optum Transplant Network | Commercial | $867 |
| Cigna | Commercial | $1,456 |
| Oxford Freedom and Liberty | Commercial | $1,741 |
| United Healthcare | Commercial | $1,866 |
| United Healthcare Individual Exchange | Commercial | $4,255 |
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