CT abdomen and pelvis with contrast at Banner North Colorado Medical Center. CPT 74177.
What Banner North Colorado Medical Center publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$339cash price (self-pay)
$1,014list price
$120–$1,235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Whole Health | $120 |
| Aetna | Commercial | $163 |
| Banner Health | Banner Choice Plus/Banner Select | $266 |
| United Healthcare | UHC Medicare Advantage | $357 |
| Aetna | Medicare Advantage | $369 |
| Anthem Blue Cross Blue Shield Colorado | Medicare | $369 |
| Medica | Medicare Advantage | $369 |
| Kaiser CPMG (Colorado Permanente Medical Group) | Medicare PPO | $376 |
| Humana | Medicare Advantage | $380 |
| Longevity | Medicare Advantage | $380 |
| Devoted Health Services | Medicare Advantage | $387 |
| Cigna HealthSpring | Medicare Advantage | $398 |
| Assist Health Group | AHG Specialty Network | $442 |
| Cigna Healthcare of Colorado,Inc | HMO Benefit Plan/Network Benefit Pl | $489 |
| United Healthcare | UnitedHealthcare Navigate/Colorado Doctors Plan Co | $513 |
| Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $578 |
| Denver Health Medical Plan | Commercial | $658 |
| Kaiser CPMG (Colorado Permanente Medical Group) | Public Option | $723 |
| Anthem Blue Cross Blue Shield Colorado | Priority/HMO/PPO/Indemnity | $776 |
| United Healthcare | UHC Colorado Doctors Plan | $814 |
| Medica | Commercial | $832 |
| Aetna | Medical Rental | $857 |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $862 |
| Decent Health | Commercial | $888 |
| First Choice Health Network | Commercial | $903 |
| Centivo | Self-Funded | $921 |
| Hue Health, Inc | Commercial | $940 |
| Multiplan | Commercial | $940 |
| First Choice of the Midwest | Commercial | $963 |
| United Healthcare | UHC Exchange | $995 |
Inpatient
$339cash price (self-pay)
$1,014list price
$797–$963range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Healthcare of Colorado,Inc | HMO Benefit Plan/Network Benefit Pl | $797 |
| Aetna | Medical Rental | $857 |
| Rocky Mountain Health Plans | Private Plan/Self Insured Plan | $862 |
| First Choice Health Network | Commercial | $903 |
| Multiplan | Commercial | $940 |
| First Choice of the Midwest | Commercial | $963 |
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