CT abdomen and pelvis with contrast at Pelham Medical Center. CPT 74177.
What Pelham Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,180cash price (self-pay)
$6,967list price
$333–$1,702range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Managed Care Plan | $333 |
| Bcbs | Medicare Managed Care Plan | $335 |
| Devoted Health Plan | Medicare Managed Care Plan | $343 |
| Aetna | Medicare Managed Care Plan | $346 |
| Absolute Total Care | Medicare Managed Care Plan | $349 |
| Cigna | Healthspring Medicare Managed Care Plan | $356 |
| Unitedhealthcare | All Commercial Plans | $714 |
| Bcbs | State Health Plan Other Commercial Plan | $873 |
| Bcbs | Blue Preferred Exchange | $1,418 |
| Bcbs | Bluechoice Exchange | $1,418 |
| Bcbs | Blue Preferred Ppo | $1,643 |
| Bcbs | Bluechoice Hmo | $1,643 |
| Bcbs | Innovations Other Commercial Plan | $1,643 |
| Cigna | All Commercial Plans | $1,702 |
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