CT abdomen and pelvis with contrast at Hillcrest Hospital South. CPT 74177.
What Hillcrest Hospital South publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,208cash price (self-pay)
$7,360list price
$178–$4,335range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $1,840 |
| Hooray Health [8000] | Hooray Health [800000] | $1,840 |
| Oscar Insurance Company [7005] | Oscar Insurance Company [700500] | $1,840 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $1,840 |
| Osma Health Network [2345] | Osma Health [234500] | $1,840 |
| Umr - Ardent Employee [2036] | Umr - Ardent Employee [203601] | $2,600 |
| Healthscope Benefits [2290] | Healthscope Ardent [229001] | $2,600 |
| Pba [1775] | Professional Benefit Admin [177500] | $2,900 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $2,900 |
| Cigna [1260] | Cigna [126008] | $2,900 |
| Web Tpa [2115] | Web Tpa Healthcare Highways [211504] | $3,165 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $3,165 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $3,165 |
| Healthcare Highways [2210] | Taro Health Plan [221010] | $3,165 |
| Resource One Administrators [2815] | Resource One Administrators [2815 | $3,165 |
| Healthcare Highways [2210] | Health Plans Inc [221008] | $3,165 |
| The Kempton Group Administrators [2905] | Advantage Health Plan-No PPO | $3,312 |
| Multiplan [1680] | Providence Health Plan [168004] | $4,335 |
| Medica [2910] | Medica Quest [291001] | $4,335 |
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