CT abdomen and pelvis with contrast at West Valley Medical Center. CPT 74177.
What West Valley Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$7,577cash price (self-pay)
$7,577list price
$69.31–$7,198range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | MLTSS | $172 |
| Blue Cross | MMCP | $172 |
| Magellan | MGMCD | $172 |
| Molina | MCD | $172 |
| Regence | HIX | $766 |
| Regence | PPO | $766 |
| United | AllPayerAppendix | $828 |
| Blue Cross | POS | $1,190 |
| Blue Cross | PPO | $1,190 |
| Blue Cross | TRAD | $1,190 |
| Select Health Idaho (EIRMC only) | SelectMed | $2,417 |
| St Alphonsus Health | COMM | $2,417 |
| St Alphonsus Health | PPO | $2,417 |
| Corizon Health | LOCALGOV | $2,803 |
| True Blue | MCRHMO | $2,993 |
| United | GlobalBenefitPlan | $3,409 |
| Cigna | PPO | $4,243 |
| PacificSource Health | PPO | $4,523 |
| United | OptionsPPO | $4,523 |
| Moda | Connexus | $4,629 |
| Moda | ModaSelect | $4,629 |
| St Luke's Health Partners | LARGEGROUP | $4,925 |
| St Luke's Health Partners | QHP | $4,925 |
| Aetna | COMM | $5,993 |
| EverNorth BH | COMM | $6,061 |
| Four Rivers Hospice | MCR | $6,061 |
| Multiplan | COMPLEMENTARY | $6,061 |
| Multiplan | PRIMARY | $6,061 |
| Geha PPO Usa | Comm | $6,440 |
| Coventry First Health | COMM | $6,819 |
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