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.
Original text from hospital filings
BC IR CT ABD PELVIS W CONTRAST
Washington, DC
See all hospitals reporting CPT 74177 →Price type
MedStar Georgetown Hospital’s median price of $2.1k is 178% above the median hospital's median price ($757), higher than 79% of the 2,632 hospitals reporting CPT 74177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 22 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 | Carefirst carefirst medicare advantage facility · fee schedule · outpatient | $412.14 | $412.14 | $412.14 – $412.14 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $412.14 | $412.14 | $412.14 – $412.14 |
| 3 | UnitedHealthcare optum va community care facility · fee schedule · outpatient | $412.14 | $412.14 | $412.14 – $412.14 |
| 4 | UnitedHealthcare united secure facility · fee schedule · outpatient | $416.26 | $416.26 | $416.26 – $416.26 |
| 5 | Aetna aetna medicare facility · fee schedule · outpatient | $424.50 | $424.50 | $424.50 – $424.50 |
| 6 | Humana humana medicare advantage facility · fee schedule · outpatient | $432.75 | $432.75 | $432.75 – $432.75 |
| 7 | Anthem anthem-hmo medicaid facility · fee schedule · outpatient | $510.26 | $510.26 | $510.26 – $510.26 |
| 8 | Amerihealth Caritas amerihealth facility · fee schedule · outpatient | $692.90 | $692.90 | $692.90 – $692.90 |
| 9 | UnitedHealthcare uhc navigate/core facility · fee schedule · outpatient | $1,439 | $1,439 | $1,439 – $1,439 |
| 10 | UnitedHealthcare united healthcare all hmo & mamsi products facility · fee schedule · outpatient | $1,521 | $1,521 | $1,521 – $1,521 |
| 11 | UnitedHealthcare united healthcare all ppo products facility · fee schedule · outpatient | $1,731 | $1,731 | $1,731 – $1,731 |
| 12 | Cigna all cigna hmo facility · case rate · outpatient | $2,108 | $2,108 | $2,108 – $2,108 |
| 13 | Cigna all cigna ppo facility · case rate · outpatient | $2,108 | $2,108 | $2,108 – $2,108 |
| 14 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · outpatientfrom % of charges | $2,228 | $2,228 | $2,228 – $2,228 |
| 15 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · inpatientfrom % of charges | $2,785 | $2,785 | $2,785 – $2,785 |
| 16 | Carefirst all carefirst hmo plans facility · fee schedule · outpatient | $3,810 | $3,810 | $3,810 – $3,810 |
| 17 | Carefirst all carefirst ppo plans facility · fee schedule · outpatient | $3,810 | $3,810 | $3,810 – $3,810 |
| 18 | Aetna aetna all hmo and ppo plans facility · fee schedule · outpatient | $5,092 | $5,092 | $5,092 – $5,092 |
| 19 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · inpatientfrom % of charges | $6,365 | $6,365 | $6,365 – $6,365 |
| 20 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · outpatientfrom % of charges | $6,365 | $6,365 | $6,365 – $6,365 |
| 21 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $6,762 | $6,762 | $6,762 – $6,762 |
| 22 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $6,762 | $6,762 | $6,762 – $6,762 |
Last updated: Apr 1, 2026
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