CT abdomen and pelvis with contrast at UCHealth Memorial Hospital North. CPT 74177.
What UCHealth Memorial Hospital North publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$3,975cash price (self-pay)
$8,834list price
$336–$6,272range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Connect Colorado Option | $336 |
| Anthem Pathway Standard | Commercial | $348 |
| CMS | Medicare | $359 |
| Select Health | Medicare Advantage | $359 |
| Kaiser | Medicare Advantage | $359 |
| Anthem | Medicare Advantage | $359 |
| Devoted Health | Medicare Advantage | $359 |
| Cigna | Medicare Advantage | $359 |
| Humana | Medicare Advantage | $359 |
| Aetna | Medicare Advantage | $359 |
| United Healthcare | Medicare Advantage | $359 |
| Cigna | Colorado Rockies | $374 |
| Cigna | Local Plus/SureFit/Connect | $436 |
| Simplified Benefits Administration | Tiered Benefits | $450 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $450 |
| Denver Health Medical Plan | HighPoint | $500 |
| Aetna ASA | Commercial | $500 |
| Anthem Employee | HMO/PPO | $509 |
| Cigna | Broad Networks | $538 |
| Anthem Pathway Individual/Small Group | Commercial | $544 |
| United Healthcare | Select Colorado | $605 |
| Kaiser Public Option | Commercial | $610 |
| Anthem Pathway | Commercial | $620 |
| United Healthcare | Broad Networks | $701 |
| Select Health | Individual Colorado Option | $733 |
| Anthem Employee High Deductible Health Plan | PPO | $737 |
| Anthem City of Colorado Springs Employer Group | Commercial | $762 |
| Select Health | Individual ACA | $812 |
| Anthem | HMO/PPO | $815 |
| Kaiser KP Select | Commercial | $902 |
Inpatient
$3,975cash price (self-pay)
$8,834list price
$2,836–$6,272range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $2,836 |
| Anthem CU Trust | Commercial | $3,353 |
| Simplified Benefits Administration | Tiered Benefits | $3,383 |
| Denver Health Medical Plan | HighPoint | $4,417 |
| Aetna ASA | Commercial | $4,523 |
| Rocky Mountain Health Plan | Private/HCO | $4,770 |
| First Health | Commercial | $5,212 |
| Multiplan | Commercial | $6,272 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.