CT abdomen and pelvis with contrast at Warm Springs Medical Center. CPT 74177.
What Warm Springs Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$1,288cash price (self-pay)
$2,575list price
$1,014–$2,266range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid | $1,015 |
| Caresource | Medicaid | $1,065 |
| Aetna | Medicare | $1,185 |
| Wellcare | Medicare | $1,185 |
| BCBS | Commercial | $1,365 |
| Aetna | Commercial | $1,880 |
| UHC | Commercial | $1,957 |
| Humana | Commercial PPO | $2,060 |
| Tricare | Commercial | $2,060 |
| Cigna | Commercial | $2,266 |
Inpatient
$1,288cash price (self-pay)
$2,575list price
$1,371–$2,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare | $1,371 |
| BCBS | Medicare | $1,371 |
| Humana | Medicare | $1,371 |
| UHC | Medicare | $1,371 |
| Wellcare | Medicare | $1,371 |
| UHC | Commercial | $1,957 |
| Humana | Commercial PPO | $2,060 |
| Tricare | Commercial | $2,060 |
| Cigna | Commercial | $2,266 |
| Aetna | Commercial | $2,575 |
| Amerigroup | Medicaid | $2,575 |
| BCBS | Commercial | $2,575 |
| Caresource | Medicaid | $2,575 |
| Peachstate | Medicaid | $2,575 |
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