CT abdomen and pelvis with contrast at Northwest Specialty Hospital. CPT 74177.
What Northwest Specialty Hospital publishes for this service, straight from its standard-charges file, last updated March 5, 2026.
Outpatient / ER
$1,606cash price (self-pay)
$1,606list price
$359–$1,514range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $359 |
| Blue Cross of ID | Medicare Advantage | $359 |
| Blue Cross of ID - Medicare | Medicaid | $359 |
| Kaiser Foundation Health Plan of WA | Medicare | $359 |
| Molina Healthcare of Utah | Medicare Advantage | $359 |
| Optum Care Network | Medicare Advantage | $359 |
| Regence BlueShield of ID | Medicare Advantage | $359 |
| United Healthcare | Medicare Advantage | $359 |
| Regence BlueShield of ID | Commercial | $460 |
| ELAP Services | Commercial | $502 |
| Kaiser Foundation Health Plan of WA | Commercial | $535 |
| Aetna | Commercial | $750 |
| Aetna | Medical Rental Products | $750 |
| Blue Cross of ID | QHP, QEP, and Connected Care | $1,285 |
| Blue Cross of ID | Traditional, PPO, and POS | $1,514 |
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