CT abdomen and pelvis with contrast at Mount Carmel New Albany. CPT 74177.
What Mount Carmel New Albany 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
$296–$3,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quality Care Partners | Quality Care Partners | $760 |
| Medical Mutual | Medical Mutual Medflex | $827 |
| Priority Health | Cigna | $1,126 |
| American Postal Workers Secondary | Cigna | $1,126 |
| Medical Mutual | Medical Mutual Supermed PPO POS HMO | $1,197 |
| Blue Cross - Wy | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Wa (Premera) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Shield - Wa (Regence) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Va (Carefirst) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ia (Wellmark) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Hi | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - FL | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ga (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Dc (Carefirst) | 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 - Ut (Regence) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Tn | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Mo (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Nd | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Ct (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - De (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Blue Cross - Co (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,255 |
| Aetna | Aetna Neighborhood Narrow Network | $1,385 |
| Aetna | Aetna Asa Meritain | $1,437 |
| Gravie Admin Services | Aetna Asa Meritain | $1,437 |
| Acclaim | Cofinity | $1,494 |
| Unified Group Services | Cofinity | $1,494 |
| Allegeant | Cofinity | $1,494 |
| American Healthcare Alliance | Cofinity | $1,494 |
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