CT abdomen and pelvis with contrast at Harmon Memorial Hospital. CPT 74177.
What Harmon Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$3,200cash price (self-pay)
$3,200list price
$360–$2,720range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | First Health PPO | $360 |
| Blue Cross Blue Shield Of Oklahoma | Blue Advantage | $964 |
| Coventry | Medicare Advantage | $2,272 |
| Global Health | Medicare Advantage | $2,272 |
| Humana | Medicare Advantage | $2,272 |
| Prime Health Services | PPO | $2,400 |
| Prime Health Services | Medicare Advantage | $2,496 |
| Aetna | All Plans | $2,560 |
| Global Health | Commercial | $2,720 |
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