CT abdomen and pelvis with contrast at The Miriam Hospital. CPT 74177.
What The Miriam 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
$257–$2,341range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Medicare Managed Care Plan | $257 |
| Bcbs | Hmo | $289 |
| Bcbs | Ppo | $322 |
| Bcbs | Medicare Managed Care Plan - Dual (D-Snp) | $392 |
| Aetna | Medicare Managed Care Plan | $401 |
| Unitedhealthcare | Rite Care Other Commercial Plan | $542 |
| Neighborhood Health Plan - Ri | Hmo | $717 |
| Unitedhealthcare | All Commercial Plans | $1,665 |
| Tufts Health Plan | Hmo/Ppo | $2,013 |
| Cigna | Hmo/Ppo | $2,203 |
| Harvard Pilgrim Health Care | Hmo/Ppo | $2,341 |
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