CT abdomen and pelvis with contrast at Oklahoma Spine Hospital LLC. CPT 74177.
What Oklahoma Spine Hospital LLC publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$460cash price (self-pay)
$2,413list price
$195–$1,207range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Oklahoma | Default | $195 |
| Medicare B OK JH | Default | $268 |
| Aetna | Medicare Advantage | $312 |
| United Healthcare | Medicare Advantage | $312 |
| Medicare A OK JH | Default | $327 |
| United Healthcare | Default | $700 |
| Health Choice Insurance | Default | $714 |
| Aetna | Default | $1,207 |
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