CT abdomen and pelvis with contrast at Retreat Hospital. CPT 74177.
What Retreat Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$16,308cash price (self-pay)
$16,308list price
$267–$14,677range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HIX | $722 |
| UNITED | AllPayerAppendix | $828 |
| UNITED | NavigateCorePayer | $828 |
| UNITED | NewBusiness | $828 |
| UNITED | SmallBusiness | $828 |
| Anthem | HPN | $916 |
| Anthem | HMO | $994 |
| Anthem | PPO | $994 |
| Aetna | SharedSavings | $1,408 |
| Aetna | Broad | $1,705 |
| Lifeworks | MCR | $3,099 |
| Universal Healthcare Group | MCR | $3,588 |
| Greenvbrier Sporting Club | COMM | $9,785 |
| CorVel | WorkersComp | $11,742 |
| OccuNet Workers Comp | WorkersComp | $13,046 |
| 4Most Health Nework | COMM | $14,677 |
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