CT abdomen and pelvis with contrast at Summa Health System. CPT 74177.
What Summa Health System publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,370cash price (self-pay)
$4,370list price
$303–$1,466range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $330 |
| Cigna | Medicare Managed Care Plan | $340 |
| Caresource | Medicare Managed Care Plan | $347 |
| Buckeye Health Plan | Medicare Managed Care Plan | $413 |
| Medical Mutual | Aca Exchange | $461 |
| Aetna | Exchange | $495 |
| Bcbs | Anthem Pathway Exchange | $519 |
| Unitedhealthcare | Exchange | $561 |
| Buckeye Health Plan | Ambetter Exchange | $611 |
| Medical Mutual | Medflex Other Commercial Plan | $668 |
| Medical Mutual | Supermed Hmo/Pos/Ppo | $739 |
| Summacare | Excludes Community Choice All Commercial Plans | $772 |
| Aetna | All Commercial Plans | $1,087 |
| Cigna | All Commercial Plans | $1,141 |
| Bcbs | Anthem Blue Access/Blue Preferred Hmo/Ppo | $1,164 |
| Unitedhealthcare | All Commercial Plans | $1,246 |
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