CT abdomen and pelvis with contrast at Copper Queen Community Hospital. CPT 74177.
What Copper Queen Community Hospital publishes for this service, straight from its standard-charges file, last updated February 4, 2026.
Outpatient / ER
$3,668cash price (self-pay)
$4,585list price
$734–$4,127range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allwell | Medicare | $734 |
| Amerigroup | Medicare | $734 |
| AZCH Complete | Medicare | $734 |
| Banner UC Health | Medicare | $734 |
| Humana of AZ | Medicare | $734 |
| TriWest | Medicare | $734 |
| UnitedHealth Group of AZ | Medicare | $825 |
| Copperpoint | Commercial | $1,135 |
| Bisbee Police | All Plans | $1,192 |
| Aetna of AZ | Medicare | $1,284 |
| Health Net of AZ | Medicare | $1,284 |
| APIPA | Medicare/Medicaid | $1,713 |
| UnitedHealth Group of AZ | Commercial | $2,673 |
| Health Net of AZ | Commercial | $2,751 |
| Cigna of AZ | Commercial | $2,980 |
| Blue Cross Blue Shield of Arizona | All Commercial | $3,118 |
| Self Pay | Self Pay | $3,668 |
| Aetna of AZ | Commercial | $4,127 |
Inpatient
$3,668cash price (self-pay)
$4,585list price
$1,192–$4,127range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bisbee Police | All Plans | $1,192 |
| Self Pay | Self Pay | $3,668 |
| Aetna of AZ | Commercial | $4,127 |
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