CT abdomen and pelvis with contrast at UCHealth Estes Valley Medical Center. CPT 74177.
What UCHealth Estes Valley Medical Center publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$274cash price (self-pay)
$365list price
$94.64–$5,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $179 |
| Anthem | Medicare Advantage | $179 |
| Cigna | Medicare Advantage | $179 |
| CMS | Medicare | $179 |
| Humana | Medicare Advantage | $179 |
| Rocky Mountain Health Plan | Medicare Advantage | $179 |
| Kaiser | Medicare Advantage | $179 |
| Clear Springs | Medicare Advantage | $179 |
| United Healthcare | Medicare Advantage | $179 |
| Anthem | Commercial | $258 |
| Anthem Federal | Commercial | $258 |
| Kaiser | Commercial | $329 |
| Rocky Mountain Health Plan | Commercial | $329 |
| Multiplan | Commercial | $347 |
| Aetna | Commercial | $347 |
| Cigna | Commercial | $347 |
| Great West | Commercial | $347 |
| Private Healthcare Systems | Commercial | $347 |
| United Healthcare | Commercial | $347 |
| Beech Street | Managed Care | $354 |
| Cofinity | Managed Care | $354 |
| Coventry/First Health | Managed Care | $354 |
| Humana | Managed Care | $354 |
| Mutual of Omaha | Managed Care | $354 |
Inpatient
$274cash price (self-pay)
$365list price
$179–$5,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Advantage | $179 |
| Anthem | Commercial | $258 |
| Anthem Federal | Commercial | $258 |
| Kaiser | Commercial | $329 |
| Rocky Mountain Health Plan | Commercial | $329 |
| Aetna | Commercial | $347 |
| Cigna | Commercial | $347 |
| Great West | Commercial | $347 |
| Private Healthcare Systems | Commercial | $347 |
| United Healthcare | Commercial | $347 |
| Multiplan | Commercial | $347 |
| Cofinity | Managed Care | $354 |
| Coventry/First Health | Managed Care | $354 |
| Humana | Managed Care | $354 |
| Mutual of Omaha | Managed Care | $354 |
| Beech Street | Managed Care | $354 |
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