CT abdomen and pelvis with contrast at Delta County Memorial Hospital. CPT 74177.
What Delta County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$2,239cash price (self-pay)
$3,732list price
$368–$3,657range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mcradv_aetna | Aetna Medicare Advantage | $368 |
| Mcradv_bcbs | BCBS Medicare Advantage | $368 |
| Mcradv_humana | Humana Medicare Advantage | $368 |
| Mcradv_select_health | Select Health Medicare Advantage | $368 |
| Mcradv_uhc | UHC Medicare Advantage | $368 |
| Medicare | Medicare | $368 |
| Tricare | Tricare | $368 |
| Mcradv_cigna | Cigna Medicare Advantage | $386 |
| Monument_health | Monument Health | $2,388 |
| Anthem_st | Anthem BCBS- PPO/HMO Standard Network | $2,689 |
| UHC | United Healthcare | $2,911 |
| Anthem_ns | Anthem BCBS- PPO/HMO Non Standard (Pathway) | $2,985 |
| Uchealth | Uchealth Plan Administrators | $3,247 |
| Aetna | Aetna | $3,657 |
| Humana | Humana Commercial Plan | $3,657 |
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