CT abdomen and pelvis with contrast at Northwest Medical Foundation Of Tillamook. CPT 74177.
What Northwest Medical Foundation Of Tillamook publishes for this service, straight from its standard-charges file, last updated May 22, 2026.
Outpatient / ER
$337cash price (self-pay)
$4,400list price
$48.00–$4,400range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Moda Health Plan - All Plans | Moda Health Plan - All Plans | $1,898 |
| Ods Health Medicare | Ods Health Medicare | $1,898 |
| Regence BCBS Mcare | Regence BCBS Mcare | $1,898 |
| Hvhs Mcare - All Plans | Hvhs Mcare - All Plans | $1,917 |
| Sterling Life - All Plans | Sterling Life - All Plans | $1,974 |
| Devoted Health | Devoted Health | $2,049 |
| Aetna Mcare | Aetna Mcare | $2,107 |
| Regence BCBS Preferred | Regence BCBS Preferred | $3,432 |
| Regence BCBS - All Other Plans | Regence BCBS - All Other Plans | $3,513 |
| Lifewise - All Plans | Lifewise - All Plans | $3,642 |
| Aetna- All Other Plans | Aetna- All Other Plans | $3,755 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $3,795 |
| First Choice Health- All Plans | First Choice Health- All Plans | $3,795 |
| Health Net - All Plans | Health Net - All Plans | $3,795 |
| UHC - All Plans | UHC - All Plans | $3,836 |
| Pacificsource - All Plans | Pacificsource - All Plans | $3,876 |
| Ods Health Plan - All Other Plans | Ods Health Plan - All Other Plans | $3,916 |
| Providence Preferred - All Plans | Providence Preferred - All Plans | $3,957 |
| Workers Comp | Workers Comp | $4,038 |
| Cigna - All Plans | Cigna - All Plans | $4,180 |
| Phcs Preferred - All Plans | Phcs Preferred - All Plans | $4,180 |
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All common services at Northwest Medical Foundation Of Tillamook