CT scan of abdomen and pelvis with contrast at Inova Fair Oaks Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT ABD-PEL W IV CONT

Fairfax, VA

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How this price compares nationally

Inova Fair Oaks Hospital’s median price of $906 is 20% above the median hospital's median price ($757), higher than 57% of the 2,632 hospitals reporting CPT 74177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74177 at Inova Fair Oaks Hospital

Negotiated rates from the hospital’s own file: 7 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna medicare advantage fee schedule · both	$357.13	$357.13	$357.13 – $357.13
2	Anthem medicare advantage fee schedule · both	$357.13	$357.13	$357.13 – $357.13
3	UnitedHealthcare medicare advantage fee schedule · both	$357.13	$357.13	$357.13 – $357.13
4	Cigna medicare advantage fee schedule · both	$371.42	$371.42	$371.42 – $371.42
5	Kaiser medicare advantage fee schedule · both	$371.42	$371.42	$371.42 – $371.42
6	Humana medicare advantage fee schedule · both	$392.84	$392.84	$392.84 – $392.84
7	Anthem medicaid advantage fee schedule · both	$461.67	$461.67	$461.67 – $461.67
8	UnitedHealthcare medicaid advantage fee schedule · both	$470.90	$470.90	$470.90 – $470.90
9	Humana medicaid advantage fee schedule · both	$480.14	$480.14	$480.14 – $480.14
10	Aetna medicaid advantage fee schedule · both	$484.75	$484.75	$484.75 – $484.75
11	Kaiser medicaid advantage fee schedule · both	$507.84	$507.84	$507.84 – $507.84
12	Anthem exchange hmo fee schedule · both	$837.95	$837.95	$837.95 – $837.95
13	UnitedHealthcare exchange fee schedule · both	$846.20	$846.20	$846.20 – $846.20
14	UnitedHealthcare nonoptions fee schedule · both	$846.20	$846.20	$846.20 – $846.20
15	UnitedHealthcare options fee schedule · both	$846.20	$846.20	$846.20 – $846.20
16	Anthem hmo fee schedule · both	$965.87	$965.87	$965.87 – $965.87
17	Anthem ppo fee schedule · both	$965.87	$965.87	$965.87 – $965.87
18	Aetna fannie-mae case rate · both	$1,487	$1,487	$1,487 – $1,487
19	Kaiser hmo other · both	$1,661	$1,661	$1,661 – $1,661
20	Kaiser ppo other · both	$1,661	$1,661	$1,661 – $1,661
21	Aetna hmo case rate · both	$1,739	$1,739	$1,739 – $1,739
22	Aetna ppo case rate · both	$1,739	$1,739	$1,739 – $1,739
23	Cigna exchange fee schedule · both	$3,374	$3,374	$3,374 – $3,374
24	Cigna hmo fee schedule · both	$3,374	$3,374	$3,374 – $3,374
25	Cigna ppo fee schedule · both	$3,374	$3,374	$3,374 – $3,374

Page 1 of 2 · 27 rates

Last updated: Apr 1, 2026

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