CT abdomen and pelvis with contrast at Stonesprings Hospital Center. CPT 74177.
What Stonesprings Hospital Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$8,828cash price (self-pay)
$8,828list price
$324–$7,504range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Anthem | HIX | $877 |
| Anthem | HPN | $886 |
| Anthem | HMO | $951 |
| Anthem | PPO | $951 |
| Lifeworks | MCR | $1,677 |
| Aetna | Broad | $1,892 |
| United | OptionsPPO | $2,754 |
| United | GlobalBenefitPlan | $3,973 |
| CareFirst | HMO | $4,380 |
| CareFirst | RPN | $4,380 |
| Greenvbrier Sporting Club | COMM | $5,297 |
| Virginia Health Network | COMM | $6,268 |
| Virginia Health Network | ULTRA | $6,268 |
| Virginia Health Network | WC | $6,268 |
| CorVel | WorkersComp | $6,356 |
| Three Rivers Provider Network | COMM | $7,504 |
| Three Rivers Provider Network | WC | $7,504 |
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