CT abdomen and pelvis with contrast at Aultman Hospital. CPT 74177.
What Aultman Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,434cash price (self-pay)
$3,186list price
$330–$991range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Dual Eligible Medicare/Medicaid Managed Care Plan | $330 |
| Caresource | Medicare Managed Care Plan | $337 |
| Caresource | Dual Eligible Medicare/Medicaid Managed Care Plan | $360 |
| Bcbs | Anthem Pathway Exchange | $660 |
| Buckeye | Medicare Managed Care Plan | $660 |
| Bcbs | Anthem Hmo/Ppo | $841 |
| Medical Mutual | All Commercial Plans | $991 |
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