CT abdomen and pelvis with contrast at Kettering Health Dayton (Grandview). CPT 74177.
What Kettering Health Dayton (Grandview) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,604cash price (self-pay)
$4,011list price
$344–$1,184range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $344 |
| Molina Healthcare | Medicare Managed Care Plan | $361 |
| Bcbs | Anthem Pathway Hmox Exchange | $514 |
| Aetna | All Commercial Plans | $523 |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $523 |
| Caresource | Marketplace Exchange | $531 |
| Unitedhealthcare | Exchange | $533 |
| Molina Healthcare | Exchange | $714 |
| Buckeye Health Plan | Ambetter Exchange | $722 |
| Custom Design Benefits Inc. | All Commercial Plans | $924 |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $1,184 |
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