CT abdomen and pelvis with contrast at Flagstaff Medical Center. CPT 74177.
What Flagstaff Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$3,506cash price (self-pay)
$7,012list price
$250–$7,012range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NAU Athletic Department | NAU Athletic Department | $250 |
| CareFirst | CareFirst | $323 |
| Mercy Care RHBA | Mercy Care RHBA | $323 |
| Ahcccs | Ahcccs | $335 |
| Health Net of Arizona | AHCCCS AZCH COMPLETE HEALTHCARE | $335 |
| AHCCCS Other | AHCCCS Other | $335 |
| Health Choice Arizona | BCBS Health Choice Standard Health ACA | $335 |
| FMC Jail | FMC Jail | $335 |
| Health Choice | Health Choice AHCCCS | $335 |
| Health Choice Integrated Care | Health Choice Integrated Care | $335 |
| Mercy Care | Mercy Care | $335 |
| NHI Out of State AHCCCS | NHI Out of State AHCCCS | $335 |
| United Healthcare | United Healthcare APIPA AHCCCS | $335 |
| Health Choice | Health Choice Generations | $340 |
| VA PCCC TriWest | Triwest Healthcare Alliance | $346 |
| Devoted | Devoted | $350 |
| University of Arizona Health Plans | University of Arizona Health Plan | $354 |
| Health Net Federal | Health Net Federal - Tricare | $372 |
| Aetna Healthcare | Aetna Med Advantage | $392 |
| Fmc Ihs | Fmc Ihs | $399 |
| Ambetter Marketplace | Ambetter Marketplace | $451 |
| NaphCare | NaphCare | $654 |
| Health Choice | Health Choice Commercial | $765 |
| Self Pay | Northern Arizona Healthcare Self Pay | $3,506 |
| Umr Nah UHC | Umr Nah UHC | $3,506 |
| Self-Pay 50% Discount | Self-Pay 50 Discount | $3,506 |
| BCBS AZ | Neighborhood Network BCBS | $4,112 |
| Workers Comp | Workers Comp | $4,558 |
| Auto Insurance | Auto Insurance | $5,000 |
| BCBS Az | BCBS HMO | $5,140 |
Inpatient
$3,506cash price (self-pay)
$7,012list price
$2,454–$7,012range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Umr Nah UHC | Umr Nah UHC | $2,454 |
| Self Pay | Northern Arizona Healthcare Self Pay | $3,506 |
| Self-Pay 50% Discount | Self-Pay 50 Discount | $3,506 |
| Workers Comp | Workers Comp | $4,558 |
| Aetna Banner | Aetna Banner | $5,175 |
| NAU Athletic Department | NAU Athletic Department | $5,609 |
| Cigna Healthcare | Cigna HMO | $6,311 |
| Fmc 90/10 | Fmc 90/10 | $6,311 |
| Rural Arizona Network Multiplan | Rural Arizona Network Multiplan | $6,311 |
| United Healthcare | United Healthcare Commercial | $6,486 |
| Humana ChoiceCare | Humana ChoiceCare | $6,661 |
| Self Pay | Self-Pay No Discount | $7,012 |
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