CT abdomen and pelvis with contrast at Houlton Regional Hospital. CPT 74177.
What Houlton Regional Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$396cash price (self-pay)
$2,059list price
$90.46–$3,515range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | Tricare | $858 |
| Anthem_mcradv | Anthem Medicare Advantage | $859 |
| Aetna_mcradv | Aetna Medicare Advantage | $878 |
| Wellcare | Wellcare | $980 |
| Anthem | Anthem | $1,029 |
| Martins_point | Martins Point | $1,050 |
| Community_health | Community Health Options Of Maine | $1,811 |
| Cigna | Cigna | $1,873 |
| United | United Healthcare | $1,956 |
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