CT abdomen and pelvis with contrast at Phoenix Children's Hospital. CPT 74177.
What Phoenix Children's Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
$5,015list price
$230–$4,012range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ahc Healthchoice | All Products | $230 |
| Ahc Lcd | All Products | $242 |
| Ahccs | With Ufc | $254 |
| Ahccs | W/O Dap | $430 |
| Ahc Apipa | All Products | $439 |
| Ahc Care First | All Products | $439 |
| Ahc Cmdp | All Products | $439 |
| Ahc Crs | Fully | $439 |
| Ahc Crs | Only | $439 |
| Ahc Crs | Behavioral Health | $439 |
| Ahc Crs | Partial | $439 |
| Ahc Ihs | All Products | $439 |
| Ahc Mercy Care | All Products | $439 |
| Ahccs | With Dap | $439 |
| Ahc University | Family Care Banner | $484 |
| Selfpay | Selfpay | $975 |
| Blue Cross | All Products | $1,504 |
| UHC | Navigate | $1,670 |
| UHC | Non Options | $1,909 |
| Healthcomp | All Products | $2,006 |
| Intel | All Products | $2,006 |
| Blue Cross | Exclusive Network | $2,051 |
| Aetna | All Products | $2,297 |
| Cigna Select | All Products | $2,869 |
| Cigna | Surefit | $3,099 |
| Antidote | All Products | $3,260 |
| Cigna | All Products | $3,482 |
| Cigna | Txp Lifesource Transplant | $3,490 |
| Aetna | Healthez | $3,676 |
| Cigna | Behavioral Health | $4,012 |
Inpatient
—cash price (self-pay)
$5,015list price
$2,006–$4,012range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Txp Lifesource Transplant | $3,806 |
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