CT abdomen and pelvis with contrast at cleveland clinic main campus. CPT 74177.
What cleveland clinic main campus publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$521cash price (self-pay)
$2,464list price
$1.10–$3,265range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Zing Health | Medicare Advantage | $1.10 |
| Aetna | ALL PRODUCTS | $3.22 |
| Devoted Health | Medicare Advantage | $195 |
| Aetna | Medicare Advantage | $199 |
| Aetna | Medicare Advantage Transplant | $199 |
| Anthem | Medicare Advantage | $199 |
| Humana | Medicare Advantage HMO | $199 |
| Optum | Medicare Advantage Transplant | $199 |
| Cigna | Medicare Advantage | $205 |
| CommuniCare | Medicare Advantage | $209 |
| PPHP | All Products | $214 |
| MMO | Medicare HMO | $267 |
| MMO | Medicare PPO | $275 |
| Anthem | All Products Mid-Level Facility | $292 |
| Anthem | All Products Mid-Level Non-Facility | $292 |
| CC EHP | All Products | $370 |
| Summacare | Preferred | $506 |
| Aetna | Acop | $582 |
| Anthem | All Products Physician Non-Facility | $741 |
| Anthem | All Products Physician | $741 |
| Anthem | All Products Physician Facility | $741 |
| OHCP | All Products | $959 |
| Ohio Healthy | Transplant | $986 |
| Aultcare | PPO/HMO | $1,079 |
| Amish Community Aid Plan | All Products | $1,109 |
| MMO | SuperMed | $1,109 |
| Optum | Commercial CRS Care Solutions | $1,156 |
| OMAS | All Products | $1,232 |
| Healthsmart | All Products | $1,355 |
| Optum | All Products Transplant | $1,437 |
Inpatient
$1,602cash price (self-pay)
$2,464list price
$685–$2,464range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $889 |
| Summacare | Preferred | $1,121 |
| Summacare | PREMIER | $1,220 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,232 |
| Healthsmart | All Products | $1,478 |
| Anthem | Traditional | $2,038 |
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