CT abdomen and pelvis with contrast at Adena Regional Medical Center. CPT 74177.
What Adena Regional 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
$333–$3,831range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicare Advantage | $333 |
| Medical Mutual of Ohio | Medicare Advantage | $333 |
| Molina | Medicare Advantage/Dual | $333 |
| Humana/Choice Care | Medicare Advantage | $333 |
| Medigold | Medicare Advantage | $333 |
| Buckeye Community Health Plan | Medicare Advantage | $333 |
| Aetna | Medicare Advantage | $333 |
| Gateway Health | Commercial | $340 |
| Care Source | Medicare Advantage | $340 |
| Care Source Just4Me | Commercial | $666 |
| Molina Marketplace | Commercial | $683 |
| Sidecar Health | Commercial | $916 |
| First Health | Commercial | $1,250 |
| Aetna (Cofinity/Meritain) | Commercial | $1,263 |
| Anthem Ohio Exchange | HMO | $1,438 |
| Anthem Ohio Exchange | Pathway HMO | $1,438 |
| Cigna | Commercial | $1,711 |
| Anthem Ohio Exchange | PPO | $1,770 |
| Medical Mutual of Ohio | Managed Care | $1,830 |
| Anthem | Blue Preferred/Blue Access | $1,967 |
| United Healthcare | Commercial | $2,149 |
| Medical Mutual of Ohio | Traditional Commercial | $2,532 |
| Anthem | Traditional | $2,565 |
| Ohio PPO Connect | Commercial | $2,823 |
| The Health Plan | Commercial | $2,823 |
| Ohio Health Choice | Commercial | $3,210 |
| HealthSmart | Emerald Health Network | $3,428 |
| Integrated Health Plan | Commercial | $3,831 |
| Three Rivers Network | Commercial | $3,831 |
Inpatient
$2,016cash price (self-pay)
$4,032list price
$1,830–$3,831range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medical Mutual of Ohio | Managed Care | $1,830 |
| Cigna | Commercial | $2,379 |
| Anthem | Traditional | $2,565 |
| The Health Plan | Commercial | $2,823 |
| Ohio PPO Connect | Commercial | $2,823 |
| Aetna (Cofinity/Meritain) | Commercial | $2,875 |
| First Health | Commercial | $3,161 |
| Ohio Health Choice | Commercial | $3,210 |
| HealthSmart | Emerald Health Network | $3,428 |
| Integrated Health Plan | Commercial | $3,831 |
| Three Rivers Network | Commercial | $3,831 |
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