CT abdomen and pelvis with contrast at Landmark Medical Center. CPT 74177.
What Landmark Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$390cash price (self-pay)
$3,223list price
$312–$3,062range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | UHC Medicaid | $312 |
| Neighborhood Health Plan | Neighborhood Health Plan Integrity | $347 |
| Tufts Health Plan | Tufts Health Plan Medicaid - MassHealth Mass subsi | $375 |
| Aetna | Aetna Medicare | $390 |
| Humana | HUMANA MILITARY TRICARE | $390 |
| Neighborhood Health Plan | Neighborhood Health Plan Medicare | $390 |
| Traditional Medicare | Traditional Medicare | $390 |
| Traditional Medicare AD-HOC | Traditional Medicare | $390 |
| Tricare | Tricare | $390 |
| Tufts Health Plan | Tufts Health Plan Mass Duals | $390 |
| Tufts Health Plan | Tufts Medicare | $390 |
| Tufts Health Plan | Tufts TMC | $390 |
| UHC | UHC Medicare | $390 |
| UHC Va Ccn | UHC Va Ccn | $390 |
| Common Wellthcare Alliance | Commonwealth Care Alliance Medicare Advan | $398 |
| Wellcare | Wellcare Medicare | $398 |
| Traditional Medicaid | Traditional Medicaid | $409 |
| Common Wellthcare Alliance | Commonwealth Care Alliance Medicare One C | $410 |
| Neighborhood Health Plan | Neighborhood Health Plan Commercial | $416 |
| BCBS Of RI | BCBS RI Medicare | $442 |
| Tufts Health Plan | Tufts Health Plan Medicaid | $524 |
| Employer Direct Healthcare | Employer Direct Healthcare | $546 |
| UHC | UHC Commercial All Payer | $611 |
| BCBS Of RI | BCBS RI Comm & Ins Exchange | $641 |
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