CT abdomen and pelvis with contrast at Arizona General Hospital Mesa. CPT 74177.
What Arizona General Hospital Mesa publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,877cash price (self-pay)
$7,599list price
$327–$6,208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choice | Medicaid|All Plans | $327 |
| Mercy Care | Medicaid|All Plans | $327 |
| United | Medicaid|All Plans | $327 |
| Alignment Health | Medicare|All Plans | $381 |
| Health Choice | Medicare|All Plans | $381 |
| Humana | Medicare|All Plans | $381 |
| Mercy Care | Medicare|All Plans | $381 |
| WellCare | Medicare|All Plans | $381 |
| BCBS - AZ | Medicare|All Plans | $384 |
| Fresenius | Medicare|All Plans | $388 |
| United | Medicare|All Plans | $390 |
| Devoted HP | Medicare|All Plans | $392 |
| BCBS - AZ | Commercial|MaricopaFocus | $752 |
| BCBS - AZ | Commercial|Neighborhood | $752 |
| United | Commercial|All Other Plans | $824 |
| United | Commercial|Navigate | $824 |
| United | Commercial|Options | $824 |
| BCBS - AZ | Commercial|All Other Plans | $1,002 |
| Cigna | Commercial|All Other Plans | $1,334 |
| Cigna | Commercial|PPO | $1,334 |
| Aetna | Commercial|All Other Plans | $1,482 |
| Aetna | Commercial|PPO | $1,482 |
| Coventry | Commercial|All Plans | $4,027 |
| Multiplan | Commercial|All Plans | $6,208 |
Inpatient
$1,877cash price (self-pay)
$7,599list price
$4,027–$6,208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Commercial|All Plans | $4,027 |
| Multiplan | Commercial|All Plans | $6,208 |
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