CT abdomen and pelvis with contrast at Boundary Community Hospital. CPT 74177.
What Boundary Community Hospital publishes for this service, straight from its standard-charges file, last updated July 17, 2026.
Outpatient / ER
$242cash price (self-pay)
$1,128list price
$56.15–$7,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Comm/Mrketplce - All Other Plans | Molina Comm/Mrketplce - All | $218 |
| Molina Mcr Adv | Molina Mcr Adv | $577 |
| UHC Med Adv | UHC Med Adv | $577 |
| Molina Mcaid | Molina Mcaid | $704 |
| Aetna Mcr - All Plans | Aetna Mcr - All Plans | $750 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $858 |
| Bc Idaho Comm - All Other Plans | Bc Idaho Comm - All Other Plans | $1,002 |
| Bc Idaho Qhp | Bc Idaho Qhp | $1,061 |
| Pacificsource Comm - All Other Plans | Pacificsource Comm - All Other | $1,094 |
| Cigna PPO - All Other Plans | Cigna PPO - All Other Plans | $2,210 |
| Cigna Open Access Plus (Oap) | Cigna Open Access Plus (Oap) | $2,210 |
| Regence Blue Shield - All Plans | Regence Blue Shield - All Plans | $3,868 |
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