CT abdomen and pelvis with contrast at East Liverpool City Hospital. CPT 74177.
What East Liverpool City Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$328cash price (self-pay)
$6,059list price
$144–$5,938range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| West Virgina Medicaid | West Virgina Medicaid | $144 |
| UHC | UHC Medicare | $322 |
| Anthem Blue Cross | Anthem Medicare | $328 |
| Buckeye Community Health Plan | Buckeye Community Health Plan Duals | $328 |
| Buckeye Community Health Plan | Buckeye Health Plan Medicare | $328 |
| Health America | Health America Coventry Aetna Medicare | $328 |
| Medical Mutual of OH | Medical Mutual of OH Medicare | $328 |
| Molina | Molina Medicare | $328 |
| Traditional Medicare | Traditional Medicare | $328 |
| Tricare | Tricare | $328 |
| UHC | UHC Duals | $328 |
| UHC - Va Ccn | UHC - Vaccn | $328 |
| Care Source | Caresource Duals | $338 |
| Care Source | Caresource Duals - My Care | $338 |
| Devoted Health | Devoted Health | $345 |
| COMMUNICARE | COMMUNICARE Medicare Advantage | $351 |
| Valor Health Plan | Valor Health Plan | $351 |
| Perennial | Perennial Advantage | $361 |
| Naphcare | Naphcare Prison | $394 |
| Employer Direct Healthcare | Employer Direct Healthcare - Surgery Plus | $460 |
| Care Source | Caresource Exchange | $476 |
| Molina | Molina Exchange (04-21-2022 to 12-31-2026) | $476 |
| THREE RIVERS | THREE RIVERS Workers Comp | $477 |
| PROVIDER SELECT | PROVIDER SELECT Workers Comp | $487 |
| Worker Compensation | Worker Compensation | $491 |
| MULTIPLAN (FKA PRIVATE HEALTHCARE SYSTEMS) | MULTIPLAN Workers Comp | $492 |
| Buckeye Community Health Plan | Buckeye Community Health Plan Ins Exch | $526 |
| Standard EAPG Logic | EAPG Logic (Accounts not processed through 3M) | $529 |
| Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $529 |
| Molina | Molina Medicaid | $529 |
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