CT abdomen and pelvis with contrast at UCHealth Longs Peak Hospital. CPT 74177.
What UCHealth Longs Peak 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
$298–$9,895range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Pathway Standard | Commercial | $298 |
| Devoted Health | Medicare Advantage | $359 |
| Select Health | Medicare Advantage | $359 |
| Cigna | Medicare Advantage | $359 |
| Humana | Medicare Advantage | $359 |
| Aetna | Medicare Advantage | $359 |
| Kaiser | Medicare Advantage | $359 |
| CMS | Medicare | $359 |
| Anthem | Medicare Advantage | $359 |
| United Healthcare | Medicare Advantage | $359 |
| Cigna | Colorado Rockies | $374 |
| Simplified Benefits Administration | Tiered Benefits | $495 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $495 |
| Denver Health Medical Plan | HighPoint | $500 |
| Cigna | Local Plus/SureFit/Connect | $563 |
| Cigna | Broad Networks | $590 |
| Aetna | Commercial | $617 |
| Anthem Employee | HMO/PPO | $635 |
| Anthem Pathway Individual/Small Group | Commercial | $704 |
| Select Health | Individual Colorado Option | $709 |
| United Healthcare | Select Rates | $726 |
| Anthem Employee High Deductible Health Plan | PPO | $768 |
| Select Health | Individual ACA | $782 |
| Anthem Pathway | Commercial | $806 |
| United Healthcare | Broad Networks | $874 |
| Anthem City of Colorado Springs Employer Group | Commercial | $981 |
| Anthem | HMO/PPO | $1,033 |
| Anthem CU Trust | Commercial | $5,264 |
| Rocky Mountain Health Plan | Commercial | $7,209 |
| First Health | Commercial | $8,340 |
Inpatient
$4,948cash price (self-pay)
$14,136list price
$4,976–$9,754range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $4,976 |
| Anthem CU Trust | Commercial | $5,264 |
| Simplified Benefits Administration | Tiered Benefits | $5,824 |
| Denver Health Medical Plan | HighPoint | $7,068 |
| First Health | Commercial | $8,340 |
| Multiplan | Commercial | $9,754 |
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