CT abdomen and pelvis with contrast at Pinnacle Hospital. CPT 74177.
What Pinnacle Hospital publishes for this service, straight from its standard-charges file, last updated March 9, 2026.
Outpatient / ER
—cash price (self-pay)
$6,143list price
$162–$6,143range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $182 |
| United Healthcare | Medicaid | $182 |
| MHS | Medicaid | $182 |
| Caresource | Marketplace | $186 |
| Anthem | Medicare | $356 |
| United Healthcare | Medicare | $356 |
| Aetna | Medicare | $356 |
| MHS | Allwell Medicare | $356 |
| MHS | Ambetter | $375 |
| Aetna | PPO | $460 |
| United Healthcare | PPO | $499 |
| United Healthcare | UMR | $499 |
| Cigna | PPO | $680 |
| Anthem | PPO | $1,077 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.