CT abdomen and pelvis with contrast at Highland District Hospital. CPT 74177.
What Highland District Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$2,707cash price (self-pay)
$3,384list price
$243–$3,113range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highland_county_sheriff_dept_plan | Medicaid | $243 |
| Medicaid_plan | Medicaid | $243 |
| Anthem_medicaid_plan | Medicaid | $250 |
| Buckeye_medicaid_plan | Medicaid | $250 |
| Humana_medicaid_plan | Medicaid | $250 |
| Molina_medicaid_plan | Medicaid | $250 |
| Caresource_medicaid_plan | Medicaid | $255 |
| Paramount_medicaid_plan | Medicaid | $255 |
| Anthem_pathway_x_hmo_plan | Commercial | $925 |
| Anthem_pathway_x_ppo_plan | Commercial | $925 |
| Anthem_pathway_hmo_plan | Commercial | $976 |
| Anthem_pathway_ppo_plan | Commercial | $976 |
| Anthem_small_group_hmo_plan | Commercial | $976 |
| Anthem_blue_access_plan | Commercial | $1,027 |
| Anthem_blue_preferred_plan | Commercial | $1,027 |
| Anthem_dual_plan | Medicare | $1,083 |
| Anthem_medicare_plan | Medicare | $1,083 |
| Humana_medicare_plan | Medicare | $1,083 |
| Medicare_plan | Medicare | $1,083 |
| Molina_medicare_plan | Medicare | $1,083 |
| Optum_uhc_va_plan | Medicare | $1,083 |
| Aetna_medicare_plan | Medicare | $1,105 |
| Medical_mutual_medicare_plan | Medicare | $1,105 |
| Buckeye_medicare_plan | Medicare | $1,115 |
| Medigold_plan | Medicare | $1,137 |
| Anthem_traditional_plan | Commercial | $2,572 |
| Immergrun_amish_plan_plan | Commercial | $2,707 |
| Medben_plan | Medicare | $2,707 |
| Aetna_plan | Commercial | $2,748 |
| Humana_plan | Commercial | $2,998 |
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