CT abdomen and pelvis with contrast at Tucson Medical Center Rincon Hospital. CPT 74177.
What Tucson Medical Center Rincon Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2026.
Outpatient / ER
$1,352cash price (self-pay)
$4,830list price
$242–$1,635range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Complete | Arizona Health Care Cost Containment System (AHCCCS | $242 |
| Banner University Family Care | Arizona Health Care Cost Containment S | $242 |
| United Healthcare Community Care | Arizona Health Care Cost Containmen | $242 |
| Arizona Complete | Medicare Advantage | $356 |
| Blue Cross Blue Shield | Medicare Advantage | $356 |
| Alignment | Medicare Advantage | $356 |
| Humana | Medicare Advantage | $362 |
| United Healthcare | Medicare Advantage | $364 |
| CareMore/Carelon/Wellpoint | Medicare Advantage | $364 |
| Devoted | Medicare Advantage | $381 |
| Arizona Complete | Marketplace | $456 |
| Blue Cross/Health Choice | Marketplace | $535 |
| Cigna | Commercial | $545 |
| United Healthcare | Commercial | $688 |
| Blue Cross Blue Shield | Commercial | $723 |
| Aetna | Commercial | $1,635 |
Inpatient
$1,352cash price (self-pay)
$4,830list price
—range insurers pay
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All common services at Tucson Medical Center Rincon Hospital