CT abdomen and pelvis with contrast at Parkview Ortho Hospital. CPT 74177.
What Parkview Ortho Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,470cash price (self-pay)
$2,940list price
$369–$865range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $369 |
| UnitedHealthCare | Medicare Managed Care Plan | $373 |
| Caresource | Exchange | $388 |
| BCBS | Anthem Exchange | $554 |
| Signature Care | Employee | $757 |
| Physicians Health Plan | HMO | $799 |
| UnitedHealthCare | All Commercial Plans | $810 |
| Signature Care | EPO | $823 |
| Signature Care | Exclusive Elite Other Commercial Plan | $823 |
| BCBS | Anthem All Commercial Plans | $865 |
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