CT abdomen and pelvis with contrast at Strong Memorial Hospital. CPT 74177.
What Strong Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$414cash price (self-pay)
$3,153list price
$109–$1,611range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare [5158] | United Healthcare Essential Pq 1 And 2 [515 | $109 |
| Excellus Blue Cross Blue Shield Medicaid [1706] | Blue Choice Option M | $109 |
| Excellus [2201] | Excellus Essential (No Medicaid) [220109] | $109 |
| Excellus Medicaid [1706] | Excellus Essential (W/ Medicaid) [170604] | $109 |
| Fidelis [5155] | Fidelis Essential Pa 3 And 4 [170804] | $245 |
| Independent Health Assoc Medicaid [1710] | Independent Health Assoc Me | $249 |
| Excellus Bc/Bs Medicaid [1706], Excellus Bc/Bs [2201] | Blue Choice Op | $261 |
| Highmark Bc/Bs Of Western NY Medicaid [1702], Amerigroup (Bswny Altern | $263 |
| Independent Health Medicare [1305] | Independent Health Medicare [1305 | $266 |
| Fidelis [5155], Fidelis Medicaid [1708] | Fidelis Essential (W/ Medica | $270 |
| Elderplan [1316] | Elderplan [131601] | $279 |
| Highmark Bc/Bs Of Western NY Medicare [1301] | Highmark Bc/Bs Medicare | $284 |
| Medicare Blue Choice [1306] | Medicare Blue Choice [130601], Blue Medi | $287 |
| Mvp Medicare [1307], Mvp Medicare Dual Access Dsnp [1321] | Mvp Medica | $336 |
| Highmark Bc/Bs Of Western NY [5143] | Bc/Bs Of Western NY [514301], Co | $354 |
| Cdphp Medicare [1320] | Cdphp Medicare [132001] | $370 |
| United Healthcare Medicaid [1716], United Healthcare [5158] | United H | $374 |
| Aetna Medicare [1300] | Aetna Medicare [130001] | $376 |
| Humana Medicare [1312] | Humana Medicare [131201] | $404 |
| Excellus Bc/Bs [2201] | Excellus Metal Tiers [220102],Univera Metal Ti | $409 |
| Martins Point [1205] | Us Family Plan At Martin'S Point [120501] | $423 |
| Highmark Blue Cross Blue Shield Medicare [1301] | Highmark BCBS Medica | $429 |
| Fidelis Medicare [1311] | Fidelis Medicare [131101] | $429 |
| Fidelis [5155], Fidelis Medicaid [1708] | Fidelis Medicaid [170801],Fi | $446 |
| United Healthcare Medicare [1309] | United Healthcare Medicare [130901 | $450 |
| Fidelis [5155] | Fidelis Metal Tiers [515501] | $476 |
| Empire Plan UHC [5180] | Empire Plan UHC [518001] | $495 |
| Independent Health [5156] | Independent Health (Buffalo NY) [515601], | $527 |
| Mvp Medicare [1307] | Mvp Medicare [130701] | $535 |
| Excellus Blue Cross Blue Shield [2201], Out Area Blue Cross Blue Shiel | $585 |
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