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CT abdomen and pelvis with contrast at Marietta Memorial Hospital. CPT 74177.

What Marietta Memorial Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.

Outpatient / ER

$1,530cash price (self-pay)
$2,550list price
$231–$825range insurers pay
Insurance planNegotiated rate
UnitedHealthCare | VA CCN Government$231
Aetna | Medicare Managed Care Plan$330
Valor Health Plan | Medicare Managed Care Plan$337
MediGold | Medicare Managed Care Plan$347
Aetna | All Commercial Plans$550
Partners Direct Health | All Commercial Plans$825
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All common services at Marietta Memorial Hospital