CT abdomen and pelvis with contrast at Granite County Hospital District. CPT 74177.
What Granite County Hospital District publishes for this service, straight from its standard-charges file, last updated September 9, 2026.
Outpatient / ER
$2,646cash price (self-pay)
$2,940list price
$2,646–$3,469range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna/Fchn - All Plans | Aetna/Fchn - All Plans | $2,646 |
| First Choice Hlth - All Plans | First Choice Hlth - All Plans | $2,646 |
| Allegiance/Cigna- All Plans | Allegiance/Cigna- All Plans | $2,764 |
| Pacific Source - All Plans | Pacific Source - All Plans | $2,793 |
| Mt Coop - All Plans | Mt Coop - All Plans | $2,852 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $3,469 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.