CT abdomen and pelvis with contrast at Penobscot Valley Hospital. CPT 74177.
What Penobscot Valley Hospital publishes for this service, straight from its standard-charges file, last updated April 24, 2026.
Outpatient / ER
$3,466cash price (self-pay)
$4,333list price
$274–$4,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B ME JK | Default | $274 |
| Medicare A ME JK | Default | $1,996 |
| United Healthcare | Medicare Advantage | $1,996 |
| Humana | Medicare Advantage | $2,016 |
| Wellcare Health Plan Inc MCR Adv | Default | $2,016 |
| Aetna Medicare Advantage | Medicare Advantage | $2,036 |
| VA Community Care Network VACCN Region 1-3 Optum | Default | $2,036 |
| Blue Cross Blue Shield of ME Anthem | Medicare Advantage | $2,056 |
| Blue Cross Blue Shield of ME Anthem | Default | $3,212 |
| United Healthcare | Default | $3,466 |
| Cigna | Default | $4,073 |
| Harvard Pilgrim HealthCare | Default | $4,138 |
| Aetna | Default | $4,160 |
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