CT abdomen and pelvis with contrast at King's Daughters Medical Center - Ohio. CPT 74177.
What King's Daughters Medical Center - Ohio publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$1,748cash price (self-pay)
$4,371list price
$413–$3,934range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Buckeye Community Health Plan | Commercial | $413 |
| Caresource | Commercial | $660 |
| Blue Cross Blue Shield Pathway X | HMO | $1,426 |
| Blue Cross Blue Shield Pathway X | PPO | $1,426 |
| Cigna | Commercial | $1,595 |
| United Healthcare | Commercial | $2,789 |
| Aetna | Commercial | $2,889 |
| The Health Plan | Commercial | $3,497 |
| Medical Mutual | Commercial | $3,715 |
| Multiplan | Commercial | $3,934 |
Inpatient
$1,748cash price (self-pay)
$4,371list price
$2,789–$3,934range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $2,789 |
| Aetna | Commercial | $2,889 |
| The Health Plan | Commercial | $3,497 |
| Medical Mutual | Commercial | $3,715 |
| Multiplan | Commercial | $3,934 |
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All common services at King's Daughters Medical Center - Ohio