CT abdomen and pelvis with contrast at UCHealth Poudre Valley Hospital. CPT 74177.
What UCHealth Poudre Valley Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$4,654cash price (self-pay)
$6,648list price
$265–$6,449range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Pathway Standard | Commercial | $265 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $307 |
| Anthem Employee | HMO/PPO | $345 |
| Select Health | Medicare Advantage | $359 |
| CMS | Medicare | $359 |
| United Healthcare | Medicare Advantage | $359 |
| Aetna | Medicare Advantage | $359 |
| Kaiser | Medicare Advantage | $359 |
| Anthem | Medicare Advantage | $359 |
| Devoted Health | Medicare Advantage | $359 |
| Cigna | Medicare Advantage | $359 |
| Humana | Medicare Advantage | $359 |
| Cigna | Colorado Rockies | $374 |
| Cigna | Connect Colorado Option | $437 |
| Simplified Benefits Administration | Tiered Benefits | $500 |
| Anthem City of Colorado Springs Employer Group | Commercial | $607 |
| Anthem Employee High Deductible Health Plan | PPO | $613 |
| United Healthcare | Select Colorado | $631 |
| Cigna | Local Plus/SureFit/Connect | $636 |
| Anthem Pathway | Commercial | $638 |
| Anthem | HMO/PPO | $639 |
| United Healthcare | Navigate Colorado Option | $689 |
| Select Health | Individual Colorado Option | $700 |
| Select Health | Individual ACA | $776 |
| United Healthcare | Broad Networks | $889 |
| Cigna | Broad Networks | $890 |
| Aetna Core/Meritain | Commercial | $1,220 |
| Aetna ASA | Commercial | $1,350 |
| First Health | Commercial | $3,922 |
| Anthem CU Trust | Commercial | $4,132 |
Inpatient
$4,654cash price (self-pay)
$6,648list price
$2,568–$6,449range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Individual Colorado Option | $2,568 |
| Select Health | Individual ACA | $2,831 |
| First Health | Commercial | $3,922 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $4,062 |
| Anthem CU Trust | Commercial | $4,132 |
| Aetna | New Business Discount | $4,255 |
| Aetna Core/Meritain | Commercial | $5,119 |
| Denver Health Medical Plan | HighPoint | $5,185 |
| Simplified Benefits Administration | Tiered Benefits | $5,252 |
| Aetna ASA | Commercial | $5,498 |
| Rocky Mountain Health Plans | Commercial | $5,983 |
| Midlands Choice | Commercial | $5,983 |
| Multiplan | Commercial | $6,050 |
| PHCS | Commercial | $6,050 |
| First Choice of the Midwest | Commercial | $6,449 |
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