CT abdomen and pelvis with contrast at Mountain Communities Healthcare District. CPT 74177.
What Mountain Communities Healthcare District publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$72.50cash price (self-pay)
$145list price
$47.70–$1,338range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Default | $85.16 |
| TriWest | Default | $93.03 |
| Medicare A CA JE | Default | $95.97 |
| Cigna | Default | $109 |
| Blue Cross of CA Anthem | Default | $124 |
| Blue Shield of CA | Default | $135 |
| Medicare B CA JE Northern CA | Default | $138 |
| Partnership Health Plan of California MCD Rep | Default | $141 |
| United Healthcare | Default | $278 |
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All common services at Mountain Communities Healthcare District