CT abdomen and pelvis with contrast at HCA HealthONE SKY RIDGE. CPT 74177.
What HCA HealthONE SKY RIDGE publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$20,426cash price (self-pay)
$21,049list price
$209–$19,505range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | PathwayEssentialsStandard | $566 |
| Pinnacol Workers Comp | WORKERSCOMP | $592 |
| Multiplan | BeechStreetWorkersComp | $617 |
| Multiplan | WorkersComp | $617 |
| United | ColoradoDoctorsPlan | $626 |
| Anthem | PathwaySBP | $658 |
| 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 | $3,199 |
| United | OptionsPPO | $4,357 |
| Bright Health | OON | $6,315 |
| WPPA | UnifiedHealthPlan | $6,315 |
| United | GlobalBenefit | $9,472 |
| WPPA | OutofServiceArea | $12,629 |
| Cigna | BroadLeanBenefitPlans | $13,471 |
| Cigna | Connect-NSBPLeanBenefitPlans | $13,471 |
| Cigna | Connect-SBPLeanBenefitPlans | $13,471 |
| Cigna | SureFitLeanBenefitPlans | $13,471 |
| Western Plains Community Health | COMM | $13,682 |
| Multiplan | COMMPPOPRIMARYNETWORK | $14,734 |
| NorthCare | COMM | $14,734 |
| Physician Health Partners | MCR | $14,734 |
| Anthem | PAR | $15,576 |
| Medical Development International | COMM | $16,839 |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $17,892 |
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