CT abdomen and pelvis with contrast at Nationwide Children's Hospital Toledo. CPT 74177.
What Nationwide Children's Hospital Toledo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,769cash price (self-pay)
$6,281list price
$268–$4,836range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | My Care Ohio | $356 |
| Caresource | Medicare Advantage_DSNP | $356 |
| Molina | Medicare Advantage_DSNP | $356 |
| Molina | My Care Ohio | $356 |
| McClaren Health Plan - Michigan | Medicaid - MI Medicaid | $367 |
| Caresource | Just4Me/Marketplace | $374 |
| Molina | Marketplace | $429 |
| Molina | Managed Medicaid - Non-Cap | $445 |
| UHC | Managed Medicaid | $445 |
| Amerihealth | Managed Medicaid - Non-Cap | $449 |
| Anthem | Managed Medicaid - Non-Cap | $449 |
| BCHP | Managed Medicaid - Non-Cap | $449 |
| Humana | Managed Medicaid | $449 |
| Cigna | All Products | $641 |
| Anthem | Enhanced Choice / Pathway | $954 |
| Anthem | Blue Preferred | $1,084 |
| Anthem | Blue Access / Blue Access OHI/OHII | $1,084 |
| MMO | Northern Ohio HMO | $1,570 |
| MMO | Medflex | $1,884 |
| MMO | All Products | $2,198 |
| Aetna | All Products | $2,418 |
| Front Path Health Coalition | All Products | $2,613 |
| McClaren Health Plan | All Products | $2,826 |
| OHC | All Products | $3,141 |
| Ohio PPO Connect | All Products | $3,141 |
| UHC | All Products | $3,172 |
| Anthem | Blue Traditional | $3,203 |
| First Health | All Products | $4,836 |
Inpatient
$3,769cash price (self-pay)
$6,281list price
$1,570–$4,836range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Front Path Health Coalition | All Products | $2,826 |
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All common services at Nationwide Children's Hospital Toledo