CT abdomen and pelvis with contrast at Haskell Memorial Hospital. CPT 74177.
What Haskell Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$1,871cash price (self-pay)
$1,871list price
$390–$1,647range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Advantage HMO Network | $390 |
| FirstCare | Managed Medicaid | $462 |
| United HealthCare | Managed Medicaid | $462 |
| Superior Healthplan Inc. | Managed Medicaid | $462 |
| Humana ChoiceCare | Medicare Advantage | $468 |
| United HealthCare | Medicare Advantage | $468 |
| Blue Cross Blue Shield | Essentials Network | $780 |
| Blue Cross Blue Shield | Traditional Indemnity | $878 |
| Blue Cross Blue Shield | PPO/POS Network | $878 |
| Humana ChoiceCare | Commercial | $1,647 |
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