CT abdomen and pelvis with contrast at Ohio State University Hospitals. CPT 74177.
What Ohio State University Hospitals publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
$2,650list price
$0.62–$2,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna - Transplant | $0.62 |
| United | United Behavioral Health - Medicaid | $1.00 |
| Medicaid | Medicaid | $1.00 |
| Molina | Molina - Medicaid | $1.05 |
| Aetna | Aetna Better Health - OhioRISE | $1.05 |
| Aetna | Aetna Better Health | $1.05 |
| CareSource | CareSource - Medicaid | $1.08 |
| United | United Healthcare - Medicaid | $1.10 |
| Humana | Humana Medicaid | $1.10 |
| Amerihealth | Amerihealth | $1.10 |
| Buckeye Community | Buckeyes Community - Medicaid | $1.15 |
| United | United Healthcare | $4.24 |
| MMO | MMO - New Business | $5.09 |
| MMO | MMO - Commercial | $5.36 |
| Anthem | Anthem - PPO Tier 1 Blue Access | $8.29 |
| Anthem | Anthem - HMO/PPO | $8.72 |
| Anthem | Anthem - Blue Access | $8.72 |
| OSU Health Plan | OSU Health Plan - Prime Care | $720 |
| OSU Health Plan | OSU Health Plan - Partner | $760 |
| OSU Health Plan | OSU Health Plan - Market | $781 |
| Ohio PPO | Ohio PPO Connect | $936 |
| Odrc | Odrc | $1,000 |
| OSU Health Plan | OSU Health Plan - Student Health Plan | $1,090 |
| Healthspan | Healthspan - Commercial | $1,113 |
| OSU Health Plan | OSU Health Plan - Non OSU PPO | $1,140 |
| Aetna | Aetna | $1,156 |
| OSU Health Plan | OSU Department of Athletics | $1,325 |
| Upper Ohio Valley | Upper Ohio Valley - Health Plan | $1,643 |
| Aetna | Aetna Transplant | $1,755 |
| Lifetrac | Lifetrac | $1,802 |
Inpatient
—cash price (self-pay)
$2,650list price
$1,022–$2,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OSU Health Plan | OSU Health Plan - Prime Care | $1,022 |
| OSU Health Plan | OSU Health Plan - Student Health Plan | $1,038 |
| OSU Health Plan | OSU Health Plan - Non OSU PPO | $1,140 |
| OSU Health Plan | OSU Health Plan - Market | $1,198 |
| OSU Health Plan | OSU Health Plan - Partner | $1,240 |
| Healthspan | Healthspan - Commercial | $1,272 |
| OSU Health Plan | OSU Department of Athletics | $1,325 |
| Ohio PPO | Ohio PPO Connect | $1,345 |
| Upper Ohio Valley | Upper Ohio Valley - Health Plan | $1,643 |
| OhioHealth | OhioHealth - Choice | $1,723 |
| Lifetrac | Lifetrac | $1,802 |
| OhioHealth | OhioHealth - Group Healthreach | $1,935 |
| Aetna | First Health | $1,964 |
| Multiplan | Multiplan | $2,120 |
| Frontpath | Frontpath Transplant | $2,120 |
| Healthsmart | Healthsmart | $2,385 |
| Anthem | Anthem - Traditional | $2,650 |
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