CT abdomen and pelvis with contrast at Shriners Children's Ohio. CPT 74177.
What Shriners Children's Ohio publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$3,238cash price (self-pay)
$3,238list price
$252–$714range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health of KS | Managed Medicaid | $252 |
| Centene Sunflower State Health Plan | Mgd Medicaid | $252 |
| Soonercare | Managed Medicaid | $254 |
| Gateway Health Plan | Managed Medicaid | $263 |
| Cigna | Commercial | $306 |
| Aetna Better Health of MI | Managed Medicaid | $342 |
| Centene Magnolia Health Services | Managed Medicaid | $342 |
| Molina Healthcare of MS | Managed Medicaid | $342 |
| United Healthcare | Nat | $382 |
| AmeriHealth Caritas NC | Marketplace Medicare | $393 |
| AmeriHealth Caritas SC | Managed Medicaid | $393 |
| Caresource of OH | Marketplace Medicare | $393 |
| Centene Ambetter | Centene Ambetter | $393 |
| Providence Health Plan | Commercial | $460 |
| Sana Benefits | Commercial | $479 |
| HealthChoice of Oklahoma | Commercial | $714 |
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