CT abdomen and pelvis with contrast at Reston Hospital Center. CPT 74177.
What Reston Hospital Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$8,995cash price (self-pay)
$8,995list price
$321–$8,095range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Anthem | HIX | $867 |
| Anthem | HPN | $876 |
| Anthem | HMO | $940 |
| Anthem | PPO | $940 |
| Lifeworks | MCR | $1,709 |
| Aetna | Broad | $1,892 |
| Universal Healthcare Group | MCR | $1,979 |
| United | OptionsPPO | $2,518 |
| United | GlobalBenefitPlan | $4,048 |
| CareFirst | HMO | $4,380 |
| CareFirst | RPN | $4,380 |
| Greenvbrier Sporting Club | COMM | $5,397 |
| Virginia Health Network | COMM | $6,386 |
| Virginia Health Network | ULTRA | $6,386 |
| Virginia Health Network | WC | $6,386 |
| CorVel | WorkersComp | $6,476 |
| OccuNet Workers Comp | WorkersComp | $7,196 |
| 4Most Health Network | COMM | $8,095 |
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