CT abdomen and pelvis with contrast at Galion Community Hospital. CPT 74177.
What Galion Community Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$3,980cash price (self-pay)
$4,682list price
$664–$5,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | Medicaid_Outpatient | $664 |
| Traditional_Medicaid | Outpatient | $664 |
| OhioRise | Medicaid_Outpatient | $664 |
| Molina | Medicaid_Outpatient | $678 |
| Anthem | Medicaid_Outpatient | $684 |
| AmeriHealth | Medicaid_Outpatient | $698 |
| United_HealthCare | Medicaid_Outpatient | $698 |
| Buckeye | Medicaid_Outpatient | $719 |
| Humana_Horizons | Medicaid_Outpatient | $719 |
| Anthem | Medicare_Outpatient | $1,592 |
| Buckeye | Medicare_Outpatient | $1,592 |
| Humana | Medicare_Outpatient | $1,592 |
| Traditional_Medicare | Outpatient | $1,592 |
| Mount_Carmel | Medicare_Outpatient | $1,592 |
| Molina | Medicare_Outpatient | $1,592 |
| United_Healthcare | Medicare_Outpatient | $1,592 |
| Aetna | Medicare_Outpatient | $1,624 |
| Molina | Marketplace_Outpatient | $2,547 |
| Anthem_Pathway_Group_HMO | Pathway_X | $3,596 |
| Anthem | Blue_Access_I-II_Enhanced_Choice_Pathway_X | $3,605 |
| Medical_Mutual | Commercial | $3,746 |
| Anthem | Traditional_Blue_Access_Blue_Preferred | $3,886 |
| Anthem | Blue_Access_Blue_Preferred | $3,886 |
| Aetna | All_Commercial | $3,980 |
| Cigna | Commercial | $4,120 |
| Anthem | Medicare_Inpatient | $4,142 |
| Buckeye | Medicare_Inpatient | $4,142 |
| Humana | Medicare_Inpatient | $4,142 |
| Traditional_Medicare | Inpatient | $4,142 |
| Mount_Carmel | Medicare_Inpatient | $4,142 |
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