CT abdomen and pelvis with contrast at Mon Health Medical Center. CPT 74177.
What Mon Health Medical Center publishes for this service, straight from its standard-charges file, last updated April 10, 2026.
Outpatient / ER
$1,352cash price (self-pay)
$2,703list price
$193–$2,622range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Unison_plan | Medicaid | $193 |
| Gateway_health_plan | Medicaid | $212 |
| Zelis_other_plan | Medicare | $287 |
| Acpn_medicare_advantage_plan | Medicare | $337 |
| Aetna_medicare_plan | Medicare | $337 |
| Geha_medicare_plan | Medicare | $337 |
| Health_south_mountain_view_plan | Medicare | $337 |
| Highmark_bcbs_medicare_plan | Medicare | $337 |
| Humana_medicare_plan | Medicare | $337 |
| Paramount_elite_plan | Medicare | $337 |
| Uhc_va_plan | Medicare | $337 |
| Upmc_medicare_plan | Medicare | $337 |
| Zelis_group_health_plan | Medicare | $337 |
| The_health_plan_peia_plan | Commerical | $395 |
| Aetna_plan | Commercial | $479 |
| Seven_corners_plan | Medicare | $675 |
| Highmark_bcbs_aca_plan | Medicare | $885 |
| Highmark_bcbs_ppo_pos_fep_plan | Medicare | $1,410 |
| Highmark_bcbs_traditional_plan | Medicare | $1,786 |
| Maryland_physicians_care_plan | Commercial | $1,892 |
| The_health_plan_murray_energy_commercial_aso_plan | Commerical | $2,163 |
| The_health_plan_plan | Medicare | $2,325 |
| Acpn_plan | Commercial | $2,433 |
| Cigna_plan | Commercial | $2,433 |
| Humana_plan | Medicare | $2,433 |
| Mon_county_commission_plan | Commercial | $2,433 |
| Uhc_plan | Medicare | $2,433 |
| Health_payors_organization_plan | Commercial | $2,487 |
| Uhc_options_ppo_plan | Medicare | $2,514 |
| Multiplan_phcs_plan | Commercial | $2,568 |
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