CT abdomen and pelvis with contrast at HCA HealthONE MOUNTAIN RIDGE. CPT 74177.
What HCA HealthONE MOUNTAIN RIDGE publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$15,416cash price (self-pay)
$28,015list price
$195–$25,242range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Life Source Services | COMM | $350 |
| Anthem | PathwayEssentialsStandard | $527 |
| Pinnacol Workers Comp | WORKERSCOMP | $592 |
| Anthem | PathwaySBP | $598 |
| Multiplan | BeechStreetWorkersComp | $617 |
| Multiplan | WorkersComp | $617 |
| United | ColoradoDoctorsPlan | $626 |
| Rocky Mountain Health Plan | AllPayerAppendix | $828 |
| United | AllPayerAppendix | $828 |
| Anthem | HMO | $1,141 |
| Anthem | PPO | $1,141 |
| Aetna | NBR | $1,187 |
| Aetna | ExistingBusiness | $1,447 |
| Aetna | ASA | $1,835 |
| Vail Health | COMM | $4,258 |
| Kaiser | HMO | $5,799 |
| United | OptionsPPO | $5,799 |
| Bright Health | OON | $8,405 |
| WPPA | UnifiedHealthPlan | $8,405 |
| Colorado Program for Children with Special Needs | HCP | $9,525 |
| United | GlobalBenefit | $12,607 |
| WPPA | OutofServiceArea | $16,809 |
| Cigna | BroadLeanBenefitPlans | $17,930 |
| Cigna | Connect-NSBPLeanBenefitPlans | $17,930 |
| Cigna | Connect-SBPLeanBenefitPlans | $17,930 |
| Cigna | SureFitLeanBenefitPlans | $17,930 |
| Western Plains Community Health | COMM | $18,210 |
| Multiplan | COMMPPOPRIMARYNETWORK | $19,611 |
| NorthCare | COMM | $19,611 |
| Physician Health Partners | MCR | $19,611 |
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