CT abdomen and pelvis with contrast at Institute for Orthopaedic Surgery. CPT 74177.
What Institute for Orthopaedic Surgery publishes for this service, straight from its standard-charges file, last updated June 5, 2026.
Outpatient / ER
—cash price (self-pay)
$4,989list price
$635–$3,492range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Commercial | PPO | $635 |
| Medical Mutual of Ohio | PPO | $3,442 |
| UHC Commercial | PPO | $3,492 |
Inpatient
—cash price (self-pay)
$4,989list price
$3,442–$3,492range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medical Mutual of Ohio | PPO | $3,442 |
| UHC Commercial | PPO | $3,492 |
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