CT abdomen and pelvis with contrast at Mount Carmel East. CPT 74177.
What Mount Carmel East publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,080cash price (self-pay)
$3,200list price
$290–$3,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hospice Mount Carmel | Mount Carmel Hospice | $330 |
| Custom Design Benefits | Custom Design Benefit | $690 |
| United Healthcare | United Healthcare Exchange | $715 |
| Mvp | Cigna | $1,126 |
| Health Partners | Cigna | $1,126 |
| United Healthcare | United Healthcare PPO | $1,182 |
| Blue Cross - Tn | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - TX | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ut (Regence) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Vt | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Va (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Pa (Independence) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Pa (Capital) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Care Network | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Dc (Carefirst) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Az | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ar | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Nc | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ok | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Or (Regence) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Nv (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - CA (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ri | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Sc | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Shield - NY Highmark Western | Anthem Blue Access PPO Blue Pref H | $1,255 |
| Blue Shield - NY Highmark Northeastern | Anthem Blue Access PPO Blue P | $1,255 |
| Aetna Domestic | Aetna | $1,370 |
| Healthez | Aetna Asa Meritain | $1,437 |
| Siho Insurance Services | Cofinity | $1,494 |
| Sisco Benefits | Cofinity | $1,494 |
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