CT abdomen and pelvis with contrast at UCHealth Grandview Hospital. CPT 74177.
What UCHealth Grandview Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$4,948cash price (self-pay)
$14,136list price
$273–$9,754range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Connect Colorado Option | $273 |
| Cigna | Local Plus/SureFit/Connect | $352 |
| CMS | Medicare | $359 |
| Aetna | Medicare Advantage | $359 |
| Anthem | Medicare Advantage | $359 |
| Cigna | Medicare Advantage | $359 |
| Devoted Health | Medicare Advantage | $359 |
| Humana | Medicare Advantage | $359 |
| Kaiser | Medicare Advantage | $359 |
| Select Health | Medicare Advantage | $359 |
| United Healthcare | Medicare Advantage | $359 |
| Cigna | Colorado Rockies | $374 |
| Anthem Pathway Standard | Commercial | $396 |
| Cigna | Broad Networks | $440 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $450 |
| Simplified Benefits Administration | Tiered Benefits | $450 |
| Denver Health Medical Plan | HighPoint | $500 |
| Anthem Employee | HMO/PPO | $572 |
| United Healthcare | Select Colorado | $591 |
| Aetna | Commercial | $593 |
| Anthem Pathway | Commercial | $611 |
| Select Health | Individual Colorado Option | $639 |
| Kaiser | KP Select Colorado Option | $655 |
| Select Health | Individual ACA | $709 |
| United Healthcare | Broad Networks | $753 |
| Anthem City of Colorado Springs Employer Group | Commercial | $827 |
| Anthem Employee High Deductible Health Plan | PPO | $833 |
| Anthem | HMO/PPO | $870 |
| Kaiser | KP Select | $902 |
| Kaiser | HMO | $1,092 |
Inpatient
$4,948cash price (self-pay)
$14,136list price
$4,509–$9,754range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $4,509 |
| Select Health | Individual Colorado Option | $4,672 |
| Select Health | Individual ACA | $5,206 |
| Anthem CU Trust | Commercial | $5,273 |
| Simplified Benefits Administration | Tiered Benefits | $5,315 |
| Denver Health Medical Plan | HighPoint | $7,068 |
| Rocky Mountain Health Plan | Private/HCO | $7,633 |
| First Health | Commercial | $8,340 |
| Multiplan/PHCS | Commercial | $9,754 |
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