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CT abdomen and pelvis with contrast at Cobre Valley Regional Medical Center. CPT 74177.

What Cobre Valley Regional Medical Center publishes for this service, straight from its standard-charges file, last updated June 29, 2026.

Outpatient / ER

—cash price (self-pay)
$1,646list price
$444–$1,481range insurers pay
Insurance planNegotiated rate
Allwell Advantage | HMO$444
UHC Dual Complete | HMO$444
Health Choice Pathways | PPO$444
One Care Advantage | HMO$444
BCBS Advantage | HMO$444
AARP Medicare Advantage | HMO$444
Aetna Medicare Advantage | HMO$444
Humana Choice Gold | HMO$444
Wellcare Medicare Advantage | HMO$444
Mercy Care Advantage | HMO$444
University Care Advantage | HMO$444
Wps | HMO$444
United Medicare Solutions | HMO$444
Ambetter Complete Care | PPO$1,119
Geha Asa | PPO$1,317
Meritain Health | PPO$1,317
Humana | HMO$1,399
BCBS Gilsbar | PPO$1,431
BCBS of Arizona | PPO$1,431
BCBS EMI Health | PPO$1,431
BCBS Meritain | PPO$1,431
BCBS United Food & Commercial | PPO$1,431
BCBS Ameriben | PPO$1,431
Neighborhood Plan Blue Cross | PPO$1,431
BCBS Summit | PPO$1,431
UMR San Carlos Apache Tribe | HMO$1,481
Cigna Healthcare | PPO$1,481
United Healthcare | PPO$1,481
Aetna Commercial | PPO$1,481
Arizona Foundation Medical Care | PPO$1,481

Inpatient

—cash price (self-pay)
$1,646list price
$1,317–$1,481range insurers pay
Insurance planNegotiated rate
Geha Asa | PPO$1,317
Meritain Health | PPO$1,317
Humana | HMO$1,399
UMR San Carlos Apache Tribe | HMO$1,481
Cigna Healthcare | PPO$1,481
United Healthcare | PPO$1,481
Aetna Commercial | PPO$1,481
Arizona Foundation Medical Care | PPO$1,481
United Medical Resources | HMO$1,481
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All common services at Cobre Valley Regional Medical Center