CT abdomen and pelvis with contrast at Three Rivers Medical Center. CPT 74177.
What Three Rivers Medical Center publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$4,124cash price (self-pay)
$6,874list price
$282–$6,187range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $282 |
| Anthem Mcaid | Anthem Mcaid | $297 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $297 |
| United Healthcare Mcaid | United Healthcare Mcaid | $297 |
| Wellcare Mcaid-All Plans | Wellcare Mcaid-All Plans | $312 |
| Anthem Mcr Adv | Anthem Mcr Adv | $351 |
| Anthem Pathway HMO | Anthem Pathway HMO | $425 |
| Anthem Trad/PPO/HMO/Pw PPO - All Other Plans | Anthem Trad/PPO/HMO/Pw | $500 |
| United Healthcare-All Other Plans | United Healthcare-All Other Plans | $3,829 |
| Multiplan Primary Network-All Other Plans | Multiplan Primary Network- | $4,124 |
| Humana-All Other Plans | Humana-All Other Plans | $4,606 |
| Cigna-All Plans | Cigna-All Plans | $5,843 |
| Multiplan Complementary Network | Multiplan Complementary Network | $5,843 |
| Aetna-All Other Plans | Aetna-All Other Plans | $6,187 |
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