CT abdomen and pelvis with contrast at Daniels Memorial Healthcare Center. CPT 74177.
What Daniels Memorial Healthcare Center publishes for this service, straight from its standard-charges file, last updated September 10, 2026.
Outpatient / ER
$5,169cash price (self-pay)
$6,081list price
$71.26–$5,899range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Choice Health -All Plans | First Choice Health -All Plans | $519 |
| Allegiance Mcr | Allegiance Mcr | $1,769 |
| Triwest Ccn-All Plans | Triwest Ccn-All Plans | $1,775 |
| Geha - All Plans | Geha - All Plans | $2,642 |
| Montana Health Co-Op Hpn | Montana Health Co-Op Hpn | $2,703 |
| UHC-All Plans | UHC-All Plans | $2,894 |
| Allegiance Comml-All Other Plans | Allegiance Comml-All Other Plans | $2,924 |
| Montana Health Co-Op-All Other Plans | Montana Health Co-Op-All Other | $3,021 |
| Interwest PPO - All Plans | Interwest PPO - All Plans | $3,085 |
| Pacific Source Comml-All Plans | Pacific Source Comml-All Plans | $3,151 |
| Bcbsmt Hlthlink Ntwrk | Bcbsmt Hlthlink Ntwrk | $5,303 |
| Bcbsmt Trad Ntwrk- All Other Plans | Bcbsmt Trad Ntwrk- All Other Plan | $5,303 |
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