CT abdomen and pelvis with contrast at Westchester Medical Center. CPT 74177.
What Westchester Medical Center publishes for this service, straight from its standard-charges file, last updated July 28, 2026.
Outpatient / ER
$11,018cash price (self-pay)
$11,018list price
$218–$11,018range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $218 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $218 |
| Blue Cross Small Group | Blue Cross Small Group | $218 |
| Beacon Medicare | Beacon Medicare | $433 |
| Blue Cross Medicare | Blue Cross Medicare | $433 |
| Cdphp Medicare | Cdphp Medicare | $433 |
| Fidelis Medicare | Fidelis Medicare | $433 |
| Tricare | Tricare | $435 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $442 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $455 |
| Beacon Commercial | Beacon Commercial | $563 |
| Oxford Exchange | Oxford Exchange | $611 |
| UHC Commercial | UHC Commercial | $611 |
| UHC Compass | UHC Compass | $611 |
| UHC Empire | UHC Empire | $611 |
| UHC Exchange | UHC Exchange | $611 |
| Aetna | Aetna | $738 |
| Aetna Hp Network | Aetna Hp Network | $843 |
| Fidelis Exchange | Fidelis Exchange | $845 |
| Cigna PPO | Cigna PPO | $883 |
| Aetna Employee | Aetna Employee | $935 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $1,008 |
| Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO | $1,186 |
| Emblem Ghi/Hip HMO/EPO/POS | Emblem Ghi/Hip HMO/EPO/POS | $1,727 |
| Self-Pay | Self-Pay | $1,931 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $2,034 |
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $3,305 |
| Mvp Exchange | Mvp Exchange | $4,780 |
| Blue Cross Access | Blue Cross Access | $5,289 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $5,509 |
Inpatient
$11,018cash price (self-pay)
$11,018list price
$3,305–$11,018range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $3,305 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $5,509 |
| Multiplan | Multiplan | $7,713 |
| Consolidated Health | Consolidated Health | $8,264 |
| Emblem Leased Network | Emblem Leased Network | $9,365 |
| Phcs | Phcs | $9,365 |
| Medigap | Medigap | $11,018 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $11,018 |
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