CT abdomen and pelvis with contrast at Nationwide Children's Hospital. CPT 74177.
What Nationwide Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$390cash price (self-pay)
$2,690list price
$87.97–$2,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | All Products | $300 |
| Tricare CHAMPUS | All Products | $303 |
| Caresource | Just4Me/Marketplace | $329 |
| Amerihealth | Managed Medicaid - Non-Cap | $605 |
| Anthem | Managed Medicaid - Non-Cap | $605 |
| BCHP | Managed Medicaid - Non-Cap | $605 |
| Caresource | Managed Medicaid - Non-Cap | $605 |
| Humana | Managed Medicaid - Non-Cap | $605 |
| Molina | Managed Medicaid - Non-Cap | $605 |
| UHC | Managed Medicaid - Non-Cap | $605 |
| UHC | All Products | $1,001 |
| Aetna | All Products | $1,254 |
| Ohio PPO Connect | All Products | $1,346 |
| OSU | All Products | $1,346 |
| Humana | All Products | $1,350 |
| OHG | All Products | $1,373 |
| OHC | All Products | $1,413 |
| MMO | All Products | $1,420 |
| Cigna | All Products | $1,427 |
| Front Path Health Coalition | All Products | $1,427 |
| Aetna | Coventry Cares WV | $1,440 |
| The Health Plan | All Products | $1,454 |
| Anthem BCBS | All Products | $1,500 |
| AHPO | All Products | $2,529 |
| UNICARE | All Products | $2,556 |
| Emerald Health | All Products | $2,636 |
| First Health | All Products | $2,636 |
| PHCS | All Products | $2,636 |
Inpatient
$2,421cash price (self-pay)
$2,690list price
$1,749–$2,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ohio PPO Connect | All Products | $2,502 |
| OSU | All Products | $2,502 |
| Anthem BCBS | All Products | $2,529 |
| Aetna | All Products | $2,556 |
| Humana | All Products | $2,556 |
| UHC | All Products | $2,556 |
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