CT abdomen and pelvis with contrast at Pen Bay Medical Center. CPT 74177.
What Pen Bay Medical Center publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$1,791cash price (self-pay)
$2,940list price
$83.43–$3,843range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $194 |
| Anthem | Medicare Advantage | $302 |
| Aetna | Medicare Advantage | $305 |
| Wellcare | Medicare Advantage | $308 |
| Humana | Medicare Advantage | $344 |
| United Healthcare | Medicare Advantage | $344 |
| Aetna | MHACO Commercial | $402 |
| Multiplan | Commercial | $594 |
| Community Health Options | Commercial | $623 |
| United Healthcare | Commercial | $625 |
| Aetna | HMO/PPO | $993 |
| Harvard Pilgrim Healthcare | Maines Choice | $1,028 |
| Harvard Pilgrim Healthcare | Commercial | $1,062 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $1,085 |
| Cigna | Commercial | $2,319 |
Inpatient
$1,791cash price (self-pay)
$2,940list price
$1,413–$3,843range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $2,319 |
| Community Health Options | Commercial | $2,330 |
| Harvard Pilgrim Healthcare | Maines Choice | $2,388 |
| Harvard Pilgrim Healthcare | Commercial | $2,503 |
| Aetna | HMO/PPO | $2,578 |
| United Healthcare | Commercial | $2,737 |
| Multiplan | Commercial | $2,763 |
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