CT abdomen and pelvis with contrast at Banner University Medical Center Tucson. CPT 74177.
What Banner University Medical Center Tucson publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$429cash price (self-pay)
$3,299list price
$242–$2,474range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $242 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $242 |
| Health Choice Arizona, Inc. | Medicaid | $242 |
| Health Net | Medicaid | $242 |
| Mercy Care | Mercy Medicaid | $242 |
| Banner Health | Medicare Advantage | $372 |
| Kaiser Foundation Health Plan | Medicare Advantage | $372 |
| Aetna | Medicare Advantage | $372 |
| Arizona Physicians IPA | Medicare Advantage | $372 |
| Banner University Health Plan | University Care Advantage | $372 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $372 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $372 |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $372 |
| Gila River Health Care Corporation | Managed Care Program | $372 |
| Health Choice Arizona, Inc. | Medicare Advantage | $372 |
| Health Net | Medicare | $372 |
| Mercy Care | Mercy Care Advantage | $372 |
| Humana | Medicare Advantage | $383 |
| Carekin | Medicare Advantage | $391 |
| Devoted Health Services | Medicare Advantage | $391 |
| Arizona Priority Care | Medicare Advantage | $410 |
| Gold Kidney Health Plan | Medicare Advantage | $410 |
| Aetna | Banner Employee Plans | $465 |
| NaphCare, Inc. | Federal Prison System | $503 |
| Health Choice Arizona, Inc. | ACA Health Plan | $558 |
| Health Net | Commerical Exchange Product | $562 |
| Oscar Health Plan | Commercial | $614 |
| Aetna | Joint Venture | $662 |
| Aetna | Designated Group | $744 |
| Aetna | Broad Network | $827 |
Inpatient
$429cash price (self-pay)
$3,299list price
$1,155–$2,474range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| University of Arizona (Kasser Medical Treatment Center) | Commerical | $1,155 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $1,485 |
| Plotkin Health | Plotkin Health | $1,485 |
| Aetna | Medical Rental | $1,692 |
| Quiktrip Corporation | Commercial | $1,765 |
| Arizona Medical Network | Commercial | $2,323 |
| Provider Network of America | Commercial | $2,474 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Banner University Medical Center Tucson