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CT abdomen and pelvis with contrast at Saint Alphonsus Medical Center Nampa. CPT 74177.

What Saint Alphonsus Medical Center Nampa publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$2,813cash price (self-pay)
$4,328list price
$236–$5,000range insurers pay
Insurance planNegotiated rate
Id County Canyon | Medicaid County$236
Id County Cat Fund | Medicaid County$236
Id County Ada | Medicaid County$236
Molina Medicaid | Molina Im Plus Medicaid$243
United Healthcare Medicare | United Healthcare Medicare Advantage$369
Medigold Medicare Advantage | Medigold Medicare Advantage$369
Aetna Medicare Advantage | Aetna Medicare Advantage$380
Molina Medicare Advantage | Molina Medicare Advantage$380
Pacificsource Health Plans | Pacificsource Smart Alliance$636
Moda Health | Moda Health Select$732
Blue Shield - Id (Regence) | Regence Bs Ind Fam$762
Blue Shield - Id (Regence) | Regence Bs Accord$807
Blue Shield - Id (Regence) | Regence Bs Accord Exclusive$807
Blue Shield - Id (Regence) | Regence Bs PPO$872
Healthcare Management Admin | Regence Bs All Network$1,026
Blue Shield - Id (Regence) | Regence Bs All Network$1,026
Blue Cross - Id | Blue Cross Of Idaho Connected Care$1,181
Blue Cross - Ga (Anthem) | Bci HMO$1,312
Blue Cross - Wa (Premera) | Bci HMO$1,312
Blue Cross - Hi | Bci HMO$1,312
BCBS Generic | Bci HMO$1,312
Blue Cross - Ky (Anthem) | Bci HMO$1,312
Blue Cross - Federal | Bci HMO$1,312
Blue Cross - Wy | Bci HMO$1,312
Blue Cross - CA (Anthem) | Bci HMO$1,312
Blue Distinction Transplant | Bci HMO$1,312
Blue Shield - CA | Bci HMO$1,312
Blue Cross - Co (Anthem) | Bci HMO$1,312
Blue Cross - Az | Bci HMO$1,312
Blue Cross - Va (Carefirst) | Bci HMO$1,312
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All common services at Saint Alphonsus Medical Center Nampa