CT abdomen and pelvis with contrast at Sentara Martha Jefferson Hospital. CPT 74177.
What Sentara Martha Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,319cash price (self-pay)
$4,638list price
$347–$1,245range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $347 |
| Humana | Medicare Managed Care Plan | $351 |
| Bcbs | Anthem Medicare Managed Care Plan | $357 |
| Aetna | Medicare Managed Care Plan | $357 |
| Bcbs | Anthem Exchange | $1,076 |
| Bcbs | Anthem Hmo | $1,157 |
| Bcbs | Anthem Ppo | $1,245 |
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