CT abdomen and pelvis with contrast at Northern Light Maine Coast Hospital. CPT 74177.
What Northern Light Maine Coast Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$974cash price (self-pay)
$3,897list price
$80.46–$3,133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | MCR Advantage | $195 |
| UHC | MCR Advantage | $195 |
| Wellcare | MCR Advantage | $195 |
| Martin's Point | MCR Advantage | $199 |
| Aetna | MCR Advantage | $1,166 |
| Aetna | Commercial | $1,907 |
| Anthem | Enhanced Pathways | $1,908 |
| Anthem | Commercial | $2,089 |
| Cigna | Commercial | $2,421 |
| CHO | Commercial | $2,533 |
| Harvard | Commercial | $2,741 |
| UHC | Commercial | $3,133 |
Inpatient
$974cash price (self-pay)
$3,897list price
$2,533–$2,907range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $2,533 |
| Anthem | Enhanced Pathways | $2,533 |
| CHO | Commercial | $2,533 |
| UHC | Commercial | $2,712 |
| Aetna | Commercial | $2,872 |
| Cigna | Commercial | $2,907 |
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