CT abdomen and pelvis with contrast at Fulton County Medical Center. CPT 74177.
What Fulton County Medical Center publishes for this service, straight from its standard-charges file, last updated September 14, 2026.
Outpatient / ER
$2,430cash price (self-pay)
$3,649list price
$293–$5,049range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Humana | $293 |
| Amerihealth Medicare | Amerihealth Medicare | $1,204 |
| Cigna | Cigna | $1,204 |
| Highmark Medicare | Highmark Medicare | $1,204 |
| MEDICARE ADVANTAGE 100% | MEDICARE ADVANTAGE 100 PerCent | $1,204 |
| Devoted Health Plan | Devoted Health Plan | $1,264 |
| Upmc Medicare | Upmc Medicare | $1,350 |
| MEDICARE ADVANTAGE (115Percentage POM) | MEDICARE ADVANTAGE (115 Perce | $1,385 |
| Aetna Medicare | Aetna Medicare | $1,679 |
| Geisinger | Geisinger | $2,456 |
| Self-Pay | Self-Pay | $2,554 |
| Capital Blue Cross | Capital Blue Cross | $2,919 |
| Highmark Commercial | Highmark Commercial | $2,992 |
| Aetna | Aetna | $3,014 |
| UHC | UHC | $3,284 |
| Upmc | Upmc | $3,284 |
Inpatient
$2,430cash price (self-pay)
$3,649list price
$2,003–$4,937range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $2,105 |
| Geisinger | Geisinger | $2,456 |
| Self-Pay | Self-Pay | $2,554 |
| Capital Blue Cross | Capital Blue Cross | $2,919 |
| Humana | Humana | $2,919 |
| Highmark Commercial | Highmark Commercial | $2,992 |
| Aetna | Aetna | $3,014 |
| Upmc | Upmc | $3,211 |
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