CT abdomen and pelvis with contrast at Madison Health. CPT 74177.
What Madison Health publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,883cash price (self-pay)
$2,354list price
$336–$538range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $336 |
| Caresource | Medicare Managed Care Plan | $343 |
| Molina | Dual Medicare/Medicaid Managed Care Plan | $346 |
| Mount Carmel Health Plan | Medicare Managed Care Plan | $353 |
| Ambetter | Buckeye Exchange | $521 |
| Molina | Exchange | $525 |
| Caresource | Exchange | $538 |
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