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CT abdomen and pelvis with contrast at Bridgton Hospital. CPT 74177.

What Bridgton Hospital publishes for this service, straight from its standard-charges file, last updated April 29, 2026.

Outpatient / ER

$1,072cash price (self-pay)
$3,459list price
$650–$3,137range insurers pay
Insurance planNegotiated rate
Cigna Commercial | Cigna Commercial$650
Anthem | Anthem Pathway Enhanced and Pathway X Enhanced$1,169
Anthem | Anthem HMO POS PPO$1,462
Anthem Adhoc | Anthem HMO POS PPO Adhoc No ER and Surg with Cap$1,462
Anthem Adhoc | Anthem HMO POS PPO Adhoc No ER and Surg without Cap$1,462
Harvard Pilgrim | Harvard Pilgrim Commercial$1,915
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All common services at Bridgton Hospital