CT abdomen and pelvis with contrast at Twin Cities Community Hospital. CPT 74177.
What Twin Cities Community Hospital publishes for this service, straight from its standard-charges file, last updated January 10, 2026.
Outpatient / ER
$1,303cash price (self-pay)
$18,609list price
$448–$24,192range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cencal Mcr Adv - All Other Plans | Cencal Mcr Adv - All Other Plans | $448 |
| Aetna Mcr Adv | Aetna Mcr Adv | $448 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $448 |
| UHC Mcr Adv | UHC Mcr Adv | $448 |
| Cfmg-CA Forensic Med Grp Op/Profee Only-All Plans | Cfmg-CA Forensic M | $582 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $806 |
| Hpn-Heritage Prov Ntwrk-All Plans | Hpn-Heritage Prov Ntwrk-All Plans | $5,500 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $6,260 |
| UHC PPO | UHC PPO | $6,260 |
| UHC HMO | UHC HMO | $6,268 |
| Nbd-Ntwrks By Design Exlus-All Other Plans | Nbd-Ntwrks By Design Exlu | $6,458 |
| Blue Shield Epn | Blue Shield Epn | $6,699 |
| Blue Shield HMO/POS | Blue Shield HMO/POS | $7,704 |
| Nbd-Ntwrks By Design Non-Exlus | Nbd-Ntwrks By Design Non-Exlus | $7,859 |
| Blue Shield EPO/PPO - All Other Plans | Blue Shield EPO/PPO - All Othe | $9,025 |
| Chn-Community Hlth Ntwrk-All Plans | Chn-Community Hlth Ntwrk-All Plan | $10,235 |
| Pacific Health Alliance-All Plans | Pacific Health Alliance-All Plans | $16,748 |
| Medi-Cal | Medi-Cal | $18,609 |
| Cencal Mcal | Cencal Mcal | $21,214 |
| Blue Shield Promise Mcal | Blue Shield Promise Mcal | $22,368 |
| Ccah-Centrl CA Allince Mcal-All Plans | Ccah-Centrl CA Allince Mcal-Al | $24,192 |
| Coalinga-All Plans | Coalinga-All Plans | $24,192 |
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