CT abdomen and pelvis with contrast at Eastern Idaho Rmc. CPT 74177.
What Eastern Idaho Rmc publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,501cash price (self-pay)
$3,501list price
$69.31–$3,501range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | MLTSS | $172 |
| Blue Cross | MMCP | $172 |
| Magellan | MGMCD | $172 |
| Molina | MCD | $172 |
| United | AllPayerAppendix | $828 |
| Select Health ICHN Brightpath | COMM | $1,022 |
| Select Health Idaho (EIRMC only) | SelectMed | $1,117 |
| Aetna | IdahoEnvironmentalCoalition | $1,379 |
| Doug Andrus Distributing | COMM | $1,400 |
| University of Utah | HIX | $1,470 |
| Aetna | CWI | $1,575 |
| United | GlobalBenefitPlan | $1,575 |
| Aetna | PEAKPERFERENCE | $1,705 |
| Mountain Health Co-Op | Individual | $1,750 |
| PacificSource Health | PPO | $1,876 |
| Cigna | PPO | $1,925 |
| United | OptionsPPO | $2,023 |
| First Choice Health Of Washington | WCOMP | $2,100 |
| Moda | Connexus | $2,139 |
| Moda | ModaSelect | $2,139 |
| Dmba | HMO | $2,254 |
| Dmba | PPO | $2,254 |
| Mountain Health Co-Op | Group | $2,625 |
| Prime Health | INDIGENTCARE | $2,625 |
| EverNorth BH | COMM | $2,801 |
| Geha PPO Usa | Comm | $2,801 |
| Multiplan | PRIMARY | $2,941 |
| Prime Health | GROUPHEALTH | $2,976 |
| Prime Health | WCOMP | $2,976 |
| First Choice of the Midwest | COMM | $3,151 |
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