CT abdomen and pelvis with contrast at Northwest Healthcare Houghton. CPT 74177.
What Northwest Healthcare Houghton publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,553cash price (self-pay)
$14,266list price
$239–$8,610range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| APIPA Medicaid AZ | APIPA Medicaid AZ | $239 |
| AZ Medicaid | AZ Medicaid | $239 |
| AZ Medicaid Non Par | AZ Medicaid Non Par | $239 |
| Complete Health Medicaid AZ | Complete Health Medicaid AZ | $239 |
| Health Choice Medicaid AZ | Health Choice Medicaid AZ | $239 |
| Mercy Care Medicaid AZ | Mercy Care Medicaid AZ | $239 |
| Magellan Medicaid AZ | Magellan Medicaid AZ | $251 |
| Banner UFC Medicaid AZ | Banner UFC Medicaid AZ | $256 |
| Aetna QHP | Aetna QHP | $276 |
| Aetna Performance | Aetna Performance | $309 |
| Aetna | Aetna | $325 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $366 |
| NODE APIPA UHC Community Plan MCR ADV | NODE APIPA UHC Community Plan | $366 |
| Node BCBS Az Mcr Adv | Node BCBS Az Mcr Adv | $366 |
| NODE Caremore MCR ADV | NODE Caremore MCR ADV | $366 |
| NODE Cigna Healthspring | NODE Cigna Healthspring MC ADV | $366 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $366 |
| NODE Medicare Non Par | NODE Medicare Non Par | $366 |
| NODE ChampVA | NODE ChampVA | $372 |
| NODE Tricare | NODE Tricare | $372 |
| NODE Non Par Hospice Agree | NODE Hospice Non Par | $372 |
| NODE Clover Health MCR ADV | NODE Clover Health MCR ADV | $376 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $377 |
| NODE Banner MCR ADV | NODE Banner MCR ADV | $385 |
| NODE AZ Complete Health Ambetter Exchange | NODE AZ Complete Health Am | $525 |
| NODE Health Choice Health Exchange | NODE Health Choice Health Exchang | $555 |
| UHC Hix | UHC Hix | $663 |
| NODE Fusion Network | NODE Fusion Network | $670 |
| UHC Navigate | UHC Navigate | $700 |
| NODE J Allen Inmate Health Svcs | NODE J Allen Inmate Health Svcs | $707 |
Inpatient
$5,531cash price (self-pay)
$14,266list price
$1,900–$8,610range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,912 |
| Self Pay | Self Pay | $5,564 |
| Coventry Work Comp AL | Coventry Work Comp AZ | $8,559 |
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