CT abdomen and pelvis with contrast at Central Maine Medical Center. CPT 74177.
What Central Maine Medical Center publishes for this service, straight from its standard-charges file, last updated June 25, 2026.
Outpatient / ER
$344cash price (self-pay)
$3,459list price
$344–$3,016range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $344 |
| Anthem | Anthem Medicare | $344 |
| Humana | Humana Medicare | $344 |
| Martins Point | Martins Point | $344 |
| Self-Pay | Self-Pay (100% of MCR) | $344 |
| Traditional Medicare | Traditional Medicare | $344 |
| Tricare | Tricare | $344 |
| United Healthcare | UHC Medicare | $344 |
| United Healthcare | UHC VACCN | $344 |
| Wellcare | Wellcare Medicare | $344 |
| Traditional Medicaid | Traditional Medicaid | $375 |
| Workers Compensation | Workers Compensation | $582 |
| Cigna Commercial | Cigna Commercial | $650 |
| Anthem | Anthem Pathway Enhanced and Pathway X Enhanced | $1,318 |
| Anthem | Anthem Bowdoin College Health Plan | $1,356 |
| Anthem | Anthem HMO POS PPO | $1,647 |
| Harvard Pilgrim | Harvard Pilgrim Commercial | $1,986 |
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