CT abdomen and pelvis with contrast at Parkridge West Hospital. CPT 74177.
What Parkridge West Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$11,345cash price (self-pay)
$11,345list price
$91.85–$9,984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $341 |
| United | Core | $341 |
| United | HeritageSelect | $341 |
| Aetna | COMM | $367 |
| Aetna | NewBusiness | $367 |
| Peach State (Ambetter) | HIX | $660 |
| Ambetter | CORE | $661 |
| Amerigroup | MCD | $1,724 |
| Apex Health | MCR | $2,156 |
| NHC Advantage, Inc. | MCRHMO | $2,156 |
| Pruitt Health (AllyAlign) | MCR | $2,156 |
| Wellcare | MCD | $2,269 |
| Humana | TRICARE | $2,836 |
| United | OptionsPPO | $3,778 |
| Cigna | PPO | $3,891 |
| United | GlobalBenefitPlan | $5,105 |
| Aetna | NAP | $5,673 |
| Multiplan | COMM | $6,807 |
| Health One Alliance | PPO | $7,374 |
| Cigna Evernorth Behavioral Health | COMM | $9,076 |
| ComPsych | COMM | $9,076 |
| Prime Health | COMMPPO | $9,984 |
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