CT abdomen and pelvis with contrast at Cleveland Area Hospital. CPT 74177.
What Cleveland Area Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2025.
Outpatient / ER
$2,768cash price (self-pay)
$3,460list price
$189–$3,460range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Oklahoma Medicaid | $189 |
| Coventry_hmo | Coventry HMO | $600 |
| Coventry | Coventry- First Health | $700 |
| Healthchoice | Healthchoice | $846 |
| Bcbsok_adv | BCBS Of Oklahoma Blue Advantage PPO | $964 |
| Bcbsok_bluelincs | BCBS Of Oklahoma Bluelincs HMO | $964 |
| Bcbsok_choice | BCBS Of Oklahoma Blue Choice PPO | $964 |
| Bcbsok_native | BCBS Of Oklahoma Native Blue | $964 |
| Bcbsok_pref | BCBS Of Oklahoma Preferred PPO | $964 |
| Bcbsok_trad | BCBS Of Oklahoma Traditional | $964 |
| Tricare | Tricare | $1,059 |
| Medadv_aetna | Aetna Medicare Advantage | $1,315 |
| Medadv_commcare | Community Care Senior | $1,315 |
| Medadv_global | Global Health Generations | $1,315 |
| Medadv_humana | Humana Medicare Advantage | $1,315 |
| Medadv_united | United Medicare Advantage | $1,315 |
| Medicare | Medicare | $1,315 |
| Va | Va Ccn Optum | $1,315 |
| Medadv_bcbs | BCBS Medicare Advantage | $1,328 |
| Global Health | Global Health Commercial | $2,076 |
| Community_care | Community Care Commercial | $2,249 |
| Healthcare_highways | Healthcare Highways | $2,249 |
| United | United Commercial | $2,595 |
| Aetna | Aetna | $2,730 |
| Cigna | Cigna | $2,768 |
| First_health | First Health Commercial | $2,768 |
| Self_pay | Self Pay | $2,768 |
| Beech_street | Beech Street Commercial | $2,941 |
| Humana | Humana | $2,941 |
| Multiplan_phcs | Multiplan / Phcs | $2,941 |
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