CT abdomen and pelvis with contrast at Rumford Hospital. CPT 74177.
What Rumford Hospital publishes for this service, straight from its standard-charges file, last updated April 29, 2026.
Outpatient / ER
$1,003cash price (self-pay)
$3,459list price
$650–$3,137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Commercial | Cigna Commercial | $650 |
| Anthem | Anthem Pathway Enhanced and Pathway X Enhanced | $1,058 |
| Anthem | Anthem HMO POS PPO | $1,323 |
| Anthem Adhoc | Anthem HMO POS PPO Adhoc No ER with Cap | $1,323 |
| Anthem Adhoc | Anthem HMO POS PPO Adhoc No ER without Cap | $1,323 |
| Harvard Pilgrim | Harvard Pilgrim Commercial | $1,915 |
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