CT abdomen and pelvis with contrast at Bonner General Health. CPT 74177.
What Bonner General Health publishes for this service, straight from its standard-charges file, last updated August 1, 2026.
Outpatient / ER
$253cash price (self-pay)
$1,488list price
$56.15–$3,990range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Optum Mcr Adv-All Plans | Optum Mcr Adv-All Plans | $627 |
| Aetna Medicare | Aetna Medicare | $639 |
| Molina Medicare-All Other Plans | Molina Medicare-All Other Plans | $639 |
| Tricare/Healthnet - All Plans | Tricare/Healthnet - All Plans | $639 |
| UHC Mcr Adv | UHC Mcr Adv | $639 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $645 |
| Blue Cross Qhp/Qep | Blue Cross Qhp/Qep | $921 |
| Blue Cross Comm - All Other Plans | Blue Cross Comm - All Other Plans | $995 |
| Ambetter Comm Exch - All Plans | Ambetter Comm Exch - All Plans | $1,012 |
| Molina Medicaid | Molina Medicaid | $1,049 |
| Blue Cross Mcaid | Blue Cross Mcaid | $1,049 |
| Cigna-All Plans | Cigna-All Plans | $1,225 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $1,298 |
| Aetna-All Other Plans | Aetna-All Other Plans | $1,308 |
| Christian Health Aid-All Plans | Christian Health Aid-All Plans | $1,339 |
| First Choice - All Plans | First Choice - All Plans | $1,458 |
| Multiplan - All Plans | Multiplan - All Plans | $1,458 |
| Select Health-All Plans | Select Health-All Plans | $1,533 |
| Pacificsource-All Plans | Pacificsource-All Plans | $1,540 |
| Mountain Health Co-Op-All Plans | Mountain Health Co-Op-All Plans | $1,609 |
| Regence Blue Shield -All Plans | Regence Blue Shield -All Plans | $2,082 |
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