CT abdomen and pelvis with contrast at Stormont Vail Healthcare. CPT 74177.
What Stormont Vail Healthcare publishes for this service, straight from its standard-charges file, last updated December 19, 2025.
Outpatient / ER
—cash price (self-pay)
$6,435list price
$72.52–$1,299range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centene | Kancare Sunflower | $211 |
| United Healthcare | Kancare UHC | $211 |
| BCBS | Kancare BCBS | $213 |
| Aetna | Medicare Aetna | $329 |
| BCBS | Medicare BCBS | $329 |
| Humana | Medicare Humana | $329 |
| BCBS | BCBS Cho | $1,234 |
| BCBS | BCBS Cap | $1,299 |
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