Scan my bill

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

What Saint Alphonsus Regional Medical Center 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
$167–$4,328range insurers pay
Insurance planNegotiated rate
Magellan Behavioral Health Medicaid | Magellan Medicaid$167
Molina Medicaid | Molina Im Plus Medicaid$173
Idaho Dept Health And Wellfare | Idaho Department Of Health Welfare$236
Id County Payette | Medicaid County$236
Id County Ada | Medicaid County$236
Id County Canyon | Medicaid County$236
Ada County Jail Inmate Ins | Medicaid County$236
Centurion Of Idaho | Medicaid County$236
Id County Cat Fund | Medicaid County$236
Blue Cross - Id Medicare Advantage | Bc Id Medicare Advantage$369
American Health Advantage Of Idaho | American Health Medicare Advantag$384
Pacificsource Health Plans | Pacificsource Smart Alliance$636
Selecthealth | Selecthealth Saha Network Indivudial$767
Selecthealth | Selecthealth Saha Network Small Grp$914
Healthcare Management Admin | Regence Bs All Network$1,026
Blue Shield - Wa (Regence) | Regence Bs All Network$1,026
Blue Cross - MA | Bci HMO$1,312
Blue Cross - Nj (Horizon) | Bci HMO$1,312
Blue Cross - Me (Anthem) | Bci HMO$1,312
Blue Cross - Nm | Bci HMO$1,312
Blue Cross - Nc | Bci HMO$1,312
Blue Cross - Or (Regence) | Bci HMO$1,312
Blue Cross - Ok | Bci HMO$1,312
Blue Cross - Pa (Independence) | Bci HMO$1,312
Blue Cross - Pa (Capital) | Bci HMO$1,312
Blue Cross - NY (Excellus) | Bci HMO$1,312
Blue Shield - NY Highmark Northeastern | Bci HMO$1,312
Blue Cross - NY (Anthem) | Bci HMO$1,312
Blue Shield - NY Highmark Western | Bci HMO$1,312
Blue Cross - Wa (Premera) | Bci HMO$1,312
Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.

Scan my bill

All common services at Saint Alphonsus Regional Medical Center