CT abdomen and pelvis with contrast at Shenandoah Medical Center. CPT 74177.
What Shenandoah Medical Center publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$2,698cash price (self-pay)
$4,151list price
$356–$4,068range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Va Ccn | UHC Va Ccn | $356 |
| BCBS Wellmark HMO - All Plans | BCBS Wellmark HMO - All Plans | $445 |
| BCBS Wellmark PPO | BCBS Wellmark PPO | $445 |
| UHC Community Plan Medicaid | UHC Community Plan Medicaid | $1,370 |
| Triwest Wellmark - All Plans | Triwest Wellmark - All Plans | $1,438 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,453 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $1,453 |
| Molina Mcr - All Other Plans | Molina Mcr - All Other Plans | $1,453 |
| Tricare-All Plans | Tricare-All Plans | $1,453 |
| UHC Healthy Well Kids (Hawk-I) | UHC Healthy Well Kids (Hawk-I) | $1,453 |
| Home State Health Plan Mcaid-All Plans | Home State Health Plan Mcaid- | $1,536 |
| UHC Medicaid | UHC Medicaid | $1,536 |
| Molina Mcd | Molina Mcd | $1,536 |
| Nebraska Total Care Mcaid-All Plans | Nebraska Total Care Mcaid-All Pl | $1,536 |
| Iowa Total Care Mcaid-All Plans | Iowa Total Care Mcaid-All Plans | $1,551 |
| Amerigroup Mcaid-All Plans | Amerigroup Mcaid-All Plans | $1,567 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $3,860 |
| Aetna Comm-All Other Plans | Aetna Comm-All Other Plans | $3,985 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $4,068 |
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