CT abdomen and pelvis with contrast at Northern Light AR Gould Hospital. CPT 74177.
What Northern Light AR Gould Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$77.28cash price (self-pay)
$2,549list price
$80.46–$3,826range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | MCR Advantage | $195 |
| Martin's Point | MCR Advantage | $199 |
| UHC | MCR Advantage | $199 |
| Wellcare | MCR Advantage | $199 |
| Aetna | MCR Advantage | $270 |
| UHC | Commercial | $326 |
| Aetna | Commercial | $341 |
| Harvard | Commercial | $378 |
| Anthem | Commercial | $415 |
| Anthem | Enhanced Pathways | $415 |
| CHO | Commercial | $482 |
| Cigna | Commercial | $529 |
Inpatient
$77.28cash price (self-pay)
$2,549list price
$239–$3,528range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $1,657 |
| Anthem | Enhanced Pathways | $1,657 |
| CHO | Commercial | $1,657 |
| UHC | Commercial | $1,774 |
| Aetna | Commercial | $1,894 |
| Cigna | Commercial | $1,901 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.