CT abdomen and pelvis with contrast at Maine Medical Center Biddeford. CPT 74177.
What Maine Medical Center Biddeford publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$5,090cash price (self-pay)
$5,090list price
$82.60–$4,784range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicare Advantage | $257 |
| Anthem | Medicare Advantage | $260 |
| Aetna | Medicare Advantage | $263 |
| Humana | Medicare Advantage | $296 |
| Wellcare | Medicare Advantage | $296 |
| Aetna | HMO | $416 |
| Aetna | PPO | $416 |
| Multiplan | Commercial | $514 |
| Community Health Options | Commercial | $535 |
| United Healthcare | Commercial | $541 |
| Harvard Pilgrim Healthcare | Fully Insured | $600 |
| Harvard Pilgrim Healthcare | Maines Choice | $600 |
| Harvard Pilgrim Healthcare | Self-Insured | $600 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $619 |
| Cigna | OAP | $4,275 |
| Cigna | PPO | $4,377 |
Inpatient
$5,090cash price (self-pay)
$5,090list price
$3,744–$4,784range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maines Choice | $3,744 |
| Harvard Pilgrim Healthcare | Fully Insured | $4,140 |
| Aetna | HMO | $4,232 |
| Cigna | OAP | $4,275 |
| Aetna | PPO | $4,373 |
| Cigna | PPO | $4,377 |
| Community Health Options | Commercial | $4,438 |
| Harvard Pilgrim Healthcare | Self-Insured | $4,535 |
| United Healthcare | Commercial | $4,740 |
| Multiplan | Commercial | $4,784 |
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