CT abdomen and pelvis with contrast at UHS Chenango Memorial Hospital. CPT 74177.
What UHS Chenango Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,405cash price (self-pay)
$4,405list price
$67.37–$2,587range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | United Healthcare Child Health Plus | $89.83 |
| United Healthcare | United Healthcare Medicaid Managed Care Plan | $89.83 |
| United Healthcare | United Healthcare Essential Plans | $100 |
| Excellus | Excellus Medicare Managed Care Plan | $401 |
| Fidelis | FIDELIS CHILD HEALTH PLUS | $435 |
| United Healthcare | United Healthcare Medicare Managed Care Plan | $440 |
| Aetna | Aetna Medicare Managed Care Plan | $444 |
| Humana | Humana Medicare Managed Care Plan | $449 |
| CDPHP | CDPHP Medicare Managed Care Plan | $453 |
| Nascentia | Nascentia Medicare Managed Care Plan | $479 |
| Emblem Health | Emblem Health Medicare Managed Care Plan | $488 |
| Fidelis | Fidelis Essential Plans | $523 |
| Fidelis | FIDELIS EXCHANGE | $827 |
| Emblem Health | Emblem Health Commercial | $1,293 |
| MAGNACARE | Magnacare Commercial | $2,347 |
| Excellus | Excellus BCBS Commercial | $2,587 |
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