CT abdomen and pelvis with contrast at Ashtabula Regional Medical Center. CPT 74177.
What Ashtabula Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$778cash price (self-pay)
$1,111list price
$11.01–$1,044range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SummaCare | Commercial | $11.67 |
| SummaCare | Medicare Advantage | $209 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $240 |
| CareSource | Medicare Advantage | $240 |
| Medical Mutual | Medicare Advantage | $240 |
| Buckeye PACE | Medicare Advantage | $240 |
| Anthem Blue Cross Blue Shield | HIX | $248 |
| Valor | Medicare Advantage | $252 |
| Molina | Medicare Advantage | $257 |
| Oscar Cleveland | Commercial | $268 |
| Ohio Health Choice | Commercial | $288 |
| United Healthcare | Medicare Advantage | $309 |
| United Healthcare | Commercial | $309 |
| Aetna | Medicare Advantage | $347 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $348 |
| Medical Mutual | Commercial | $358 |
| Aetna | Commercial | $383 |
| Molina Marketplace | Commercial | $473 |
| Cigna | Commercial | $862 |
Inpatient
$778cash price (self-pay)
$1,111list price
$478–$1,044range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $478 |
| Medical Mutual | Commercial | $633 |
| Ohio Health Choice | Commercial | $1,044 |
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