CT abdomen and pelvis with contrast at Powell County Memorial Hospital Association. CPT 74177.
What Powell County Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$3,354cash price (self-pay)
$4,193list price
$1,711–$4,067range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Advantage | $1,711 |
| Allegiance | Allegiance Cigna PPO|Allegiance Mt PPO|Allegiance Other P | $3,732 |
| BCBS Mt [1266] | BCBS Mt Traditional [12660002] | $3,732 |
| First Choice Health | All Plans | $3,983 |
| Pacificsource | Pacific Source Navigator PPO; Pacificsource Voyager; P | $3,983 |
| Mountain Health Coop | Mountain Health Coop | $4,067 |
Inpatient
$4,193cash price (self-pay)
$4,193list price
$1,711–$4,067range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Allegiance Cigna PPO|Allegiance Mt PPO|Allegiance Other P | $3,732 |
| BCBS Mt [1266] | BCBS Mt Traditional [12660002] | $3,732 |
| First Choice Health | All Plans | $3,983 |
| Pacificsource | Pacific Source Navigator PPO; Pacificsource Voyager; P | $3,983 |
| Mountain Health Coop | Mountain Health Coop | $4,067 |
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All common services at Powell County Memorial Hospital Association