CT abdomen and pelvis with contrast at Warren Community Hospital, Inc. d/b/a North Valley Health Center. CPT 74177.
What Warren Community Hospital, Inc. d/b/a North Valley Health Center publishes for this service, straight from its standard-charges file, last updated August 3, 2026.
Outpatient / ER
$244cash price (self-pay)
$3,811list price
$81.86–$3,623range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Mhcp | BCBS Mhcp | $879 |
| UHC Mcr Adv | UHC Mcr Adv | $1,032 |
| Medica Mcr Adv | Medica Mcr Adv | $1,032 |
| Medica Msho/Cost/Select | Medica Msho/Cost/Select | $1,043 |
| Dhs Medicaid - All Plans | Dhs Medicaid - All Plans | $1,146 |
| Ucare Qhp-All Plans | Ucare Qhp-All Plans | $1,205 |
| UHC Medicaid | UHC Medicaid | $1,737 |
| Medica Mhcp | Medica Mhcp | $1,757 |
| Sanford-All Plans | Sanford-All Plans | $1,876 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $3,479 |
| UHC-All Other Plans | UHC-All Other Plans | $3,620 |
| BCBS Comm - All Other Plans | BCBS Comm - All Other Plans | $3,623 |
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All common services at Warren Community Hospital, Inc. d/b/a North Valley Health Center