CT abdomen and pelvis with contrast at Western Arizona Regional Medical Center. CPT 74177.
What Western Arizona Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,598cash price (self-pay)
$22,223list price
$314–$20,513range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | AZ Medicaid | $314 |
| Complete Health Medicaid AZ | Complete Health Medicaid AZ | $314 |
| NON PAR Medicaid AZ | NON PAR Medicaid AZ | $314 |
| UHCCP Medicaid AZ | UHCCP Medicaid AZ | $314 |
| Care1st | Care1st Medicaid AZ | $329 |
| Magellan | Magellan Medicaid AZ | $329 |
| Banner UFC Medicaid AZ | Banner UFC Medicaid AZ | $336 |
| Medicaid | NV Medicaid | $342 |
| Veterans Eval Services | Veterans Eval Services | $348 |
| Mercy Care | Mercy Care Medicaid AZ | $361 |
| NODE ChampVA | NODE ChampVA | $372 |
| NODE Tricare | NODE Tricare | $372 |
| NODE Health Choice MCR ADV | NODE Health Choice MCR ADV | $392 |
| Humana | NODE Humana MCR ADV | $392 |
| NODE Non Par Hospice Agree | NODE Hospice Non Par | $399 |
| Healthnet | NODE Healthnet Senior MCR ADV | $404 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $412 |
| NODE Banner MCR ADV | NODE Banner MCR ADV | $412 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $412 |
| Sierra Health Plan | Sierra Option | $630 |
| NODE AZ Complete Health Exchange | NODE AZ Complete Health Exchange | $678 |
| NODE Health Choice Integrated Care | NODE Health Choice Integrated Car | $738 |
| BCBS Az | BCBS Az All | $945 |
| NODE Health Choice Health Exchange | NODE Health Choice Health Exchang | $1,017 |
| Health Direct Partners | Health Direct Partners | $1,023 |
| Laughlin Healthcare | Laughlin | $1,023 |
| Sierra Health Plan | Sierra Commercial | $1,431 |
| BCBS AZ | BCBS Work Comp AZ | $1,492 |
| Self Pay | Self Pay | $2,667 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $4,445 |
Inpatient
$4,547cash price (self-pay)
$22,223list price
$4,331–$20,513range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $4,445 |
| Self Pay | Self Pay | $4,667 |
| Aetna | Aetna ASBAIT | $6,845 |
| Cigna | Cigna HMO | $9,600 |
| Coventry Work Comp AL | Coventry Work Comp AZ | $13,334 |
| Aetna | Aetna | $13,712 |
| Multiplan Primary | Multiplan Primary | $14,223 |
| Multiplan | Multiplan Complementary | $15,334 |
| United Healthcare | UHC APA | $15,623 |
| Three Rivers | Three Rivers PPO | $18,890 |
| Three Rivers | Three Rivers Work Comp AZ | $18,890 |
| First Health Coventry | First Health Coventry | $20,001 |
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All common services at Western Arizona Regional Medical Center