CT abdomen and pelvis with contrast at Boone Memorial Hospital. CPT 74177.
What Boone Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 7, 2026.
Outpatient / ER
$1,440cash price (self-pay)
$2,879list price
$185–$2,735range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B WV JM | Default | $185 |
| Humana Advantage Care Plans Med Advantage | Medicare Advantage | $790 |
| Medicare A WV JM | Default | $790 |
| Aetna Medicare Advantage | Default | $806 |
| Blue Cross Blue Shield of WV Highmark | Default | $806 |
| Medicaid West Virginia UNISYS | Default | $864 |
| Cigna | Default | $2,148 |
| Aetna | Default | $2,735 |
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