CT abdomen and pelvis with contrast at Maricopa County Special Health Care District. CPT 74177.
What Maricopa County Special Health Care District publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$428cash price (self-pay)
$550list price
$98.51–$6,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | All Products | $181 |
| Alignment Health | Medicare Advantage - Facility | $211 |
| Alignment Health | Medicare Advantage - Non-Facility | $211 |
| Arizona Complete Health | Medicare Advantage - Non-Facility | $211 |
| Arizona Complete Health | Medicare Advantage - Facility | $211 |
| Banner University | Medicare Advantage - Non-Facility | $211 |
| Banner University | Medicare Advantage - Facility | $211 |
| BCBS | Medicare Advantage - Non-Facility | $211 |
| BCBS | Medicare Advantage - Facility | $211 |
| Devoted | Medicare Advantage - Specialist_non-Facility | $211 |
| Devoted | Medicare Advantage - Specialist_facility | $211 |
| Cigna | Ifp | $240 |
| Devoted | Medicare Advantage - Pcp_facility | $242 |
| Devoted | Medicare Advantage - Pcp_non-Facility | $242 |
| Banner University | Ahcccs Managed Medicaid - Specialist | $278 |
| Verda | Medicare Advantage | $282 |
| Molina | Medicare Advantage | $309 |
| Banner University | Ahcccs Managed Medicaid - Primary Care | $327 |
| Humana | Medicare Advantage | $332 |
| Humana Bh | Medicare Advantage | $332 |
| Aetna | Medicare Advantage | $332 |
| Aetna | All Products | $333 |
| Gold Kidney | Medicare Advantage | $349 |
| Health Choice | Individual Exchange | $387 |
| United Healthcare | Individual Exchange | $395 |
| Aetna | Medical Rental - Office | $406 |
| Aetna | All Products - Office | $406 |
| Aetna | Qhp - Office | $406 |
| Aetna | Qhp | $428 |
| United Healthcare | Navigate | $460 |
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All common services at Maricopa County Special Health Care District