CT abdomen and pelvis with contrast at Adena Fayette Medical Center. CPT 74177.
What Adena Fayette Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$2,016cash price (self-pay)
$4,032list price
$713–$4,557range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Care Source Just4Me | Commercial | $713 |
| Molina Marketplace | Commercial | $731 |
| Anthem | Medicare Advantage | $1,048 |
| First Health | Commercial | $1,250 |
| Aetna (Cofinity/Meritain) | Commercial | $1,250 |
| Medical Mutual of Ohio | Medicare Advantage | $1,653 |
| Molina | Medicare Advantage/Dual | $1,653 |
| Medigold | Medicare Advantage | $1,653 |
| Humana/Choice Care | Medicare Advantage | $1,653 |
| Buckeye Community Health Plan | Medicare Advantage | $1,653 |
| Aetna | Medicare Advantage | $1,653 |
| Care Source | Medicare Advantage | $1,686 |
| Anthem Pathway | HMO/PPO | $1,944 |
| Anthem | Blue Preferred/Blue Access | $2,452 |
| United Healthcare | Commercial | $2,512 |
| United Medical Resources OHCP | Commercial | $2,536 |
| United Healthcare River Valley | Commercial | $2,536 |
| GEHA UHC Shared Services | Commercial | $2,536 |
| Anthem | Traditional | $2,641 |
| Great West Health Care/Cigna | Commercial | $2,778 |
| Ohio PPO Connect | Commercial | $2,823 |
| The Health Plan | Commercial | $2,823 |
| Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred | $3,043 |
| Medical Mutual of Ohio | Commercial | $3,043 |
| Medical Mutual of Ohio | Traditional Commercial | $3,043 |
| Ohio Health Choice | Commercial | $3,210 |
| Sidecar Health | Commercial | $4,557 |
Inpatient
$2,016cash price (self-pay)
$4,032list price
$1,770–$3,210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Pathway | HMO/PPO | $1,770 |
| Anthem | Blue Preferred/Blue Access | $2,428 |
| United Healthcare | Commercial | $2,512 |
| United Healthcare River Valley | Commercial | $2,536 |
| GEHA UHC Shared Services | Commercial | $2,536 |
| United Medical Resources OHCP | Commercial | $2,536 |
| Anthem | Traditional | $2,617 |
| Great West Health Care/Cigna | Commercial | $2,778 |
| The Health Plan | Commercial | $2,823 |
| Ohio PPO Connect | Commercial | $2,823 |
| Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred | $3,043 |
| Medical Mutual of Ohio | Traditional Commercial | $3,043 |
| Medical Mutual of Ohio | Commercial | $3,043 |
| First Health | Commercial | $3,161 |
| Aetna (Cofinity/Meritain) | Commercial | $3,194 |
| Ohio Health Choice | Commercial | $3,210 |
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