CT abdomen and pelvis with contrast at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's. CPT 74177.
What HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$13,025cash price (self-pay)
$13,025list price
$203–$11,722range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | PathwayEssentialsStandard | $548 |
| Anthem | PathwaySBP | $566 |
| Pinnacol Workers Comp | WORKERSCOMP | $592 |
| 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 | $1,980 |
| United | OptionsPPO | $2,696 |
| Cigna Transplant | COMM | $3,777 |
| Aetna | MCRADVHMO | $3,907 |
| Bright Health | OON | $3,907 |
| WPPA | UnifiedHealthPlan | $3,907 |
| United | GlobalBenefit | $5,861 |
| Emerging Therapy Solutions | MGMCR | $6,252 |
| Kaiser National Transplant | COMM | $6,252 |
| Colorado Program for Children with Special Needs | HCP | $6,642 |
| WPPA | OutofServiceArea | $7,815 |
| Emerging Therapy Solutions | COMM | $8,336 |
| Cigna | BroadLeanBenefitPlans | $8,336 |
| Cigna | Connect-NSBPLeanBenefitPlans | $8,336 |
| Cigna | Connect-SBPLeanBenefitPlans | $8,336 |
| Cigna | SureFitLeanBenefitPlans | $8,336 |
| Western Plains Community Health | COMM | $8,466 |
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All common services at HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's