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CT abdomen and pelvis with contrast at Rhode Island Hospital. CPT 74177.

What Rhode Island Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$2,900cash price (self-pay)
$2,900list price
$203–$2,315range insurers pay
Insurance planNegotiated rate
Bcbs | Blue Chip Direct Advance Other Commercial Plan$203
Bcbs | Medicare Managed Care Plan$257
Bcbs | Ppo$290
Bcbs | Hmo$290
Cigna | Medicare Managed Care - Ppo$392
Aetna | Medicare Managed Care Plan$401
Cigna | Hmo/Ppo$1,649
Unitedhealthcare | All Commercial Plans$1,665
Tufts Health Plan | Hmo/Ppo$2,054
Harvard Pilgrim Health Care | Hmo/Ppo$2,315
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All common services at Rhode Island Hospital