CT abdomen and pelvis with contrast at Northern Light Eastern Maine Medical Center. CPT 74177.
What Northern Light Eastern Maine Medical Center publishes for this service, straight from its standard-charges file, last updated February 3, 2026.
Outpatient / ER
$763cash price (self-pay)
$3,635list price
$80.46–$2,937range 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 |
| Aetna | Commercial | $341 |
| UHC | Commercial | $354 |
| Anthem | Commercial | $415 |
| Anthem | Enhanced Pathways | $415 |
| Harvard | Commercial | $498 |
| Cigna | Commercial | $529 |
| CHO | Commercial | $919 |
Inpatient
$763cash price (self-pay)
$3,635list price
$2,363–$2,712range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $2,363 |
| Anthem | Enhanced Pathways | $2,363 |
| CHO | Commercial | $2,363 |
| UHC | Commercial | $2,603 |
| Aetna | Commercial | $2,635 |
| Cigna | Commercial | $2,712 |
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All common services at Northern Light Eastern Maine Medical Center