CT abdomen and pelvis with contrast at Hospital Ashford. CPT 74177.
What Hospital Ashford publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
—cash price (self-pay)
$386list price
$138–$316range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Acaa | Acaa | $138 |
| International Medical Card | International Medical Card | $138 |
| Utm | Utm | $150 |
| Medical Card System | Mcs Advantage | $155 |
| Humana Advantage | Humana Advantage | $205 |
| Sss Vital | Sss Vital | $207 |
| Mapfre | Mapfre | $208 |
| Medical Card System | Mcs Comercial | $210 |
| Sss | Sss Comercial | $225 |
| Sss Advantage | Sss Advantage | $225 |
| Plan De Salud Menonita | Menonita Comercial | $316 |
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