CT abdomen and pelvis with contrast at Holy Rosary Healthcare. CPT 74177.
What Holy Rosary Healthcare publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$2,986list price
$138–$2,919range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meritain Health | Meritain Health | $365 |
| Allegiance | Allegiance Group Health | $379 |
| Allegiance | Allegiance Other | $379 |
| Allegiance | Cigna - Commercial | $379 |
| Allegiance | Cigna Sclhs Employees | $379 |
| Allegiance | Silver Bow County Employees | $379 |
| Cigna | Cigna Other | $379 |
| Cigna | Cigna POS/Qpos | $379 |
| Cigna | Cigna PPO | $379 |
| Cigna | Eighth Dist Elect Ben Pln | $379 |
| Mt Health Co-Op | Mountain Health Co-Op | $401 |
| Geha | Geha | $405 |
| United Healthcare | Golden Rule Ins | $405 |
| United Healthcare | UHC Charter/Navigate | $405 |
| United Healthcare | UHC Exchange Plan | $405 |
| United Healthcare | UHC Other/Supplemental | $405 |
| United Healthcare | Umr-United Med Resources | $405 |
| United Healthcare | United Healthcare | $405 |
| Pacificsource | Pacificsource Smart Health/Nav Network | $515 |
| Pacificsource | Pacificsource Voyager Network | $515 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $519 |
| First Choice Health | Boon-Chapman | $519 |
| First Choice Health | First Choice Health | $519 |
| First Choice Health | First Choice Other | $519 |
| First Choice Health | Healthcomp Tpa | $519 |
| Allegiance | Allegiance Mmia | $1,374 |
| Tire Rama | Tire Rama | $1,374 |
| Aetna | Aetna HMO/EPO | $2,687 |
| Aetna | Aetna POS/Qpos | $2,687 |
| Aetna | Aetna PPO | $2,687 |
Inpatient
—cash price (self-pay)
$2,986list price
$2,389–$2,919range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pacificsource | Pacificsource Smart Health/Nav Network | $2,389 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $2,538 |
| First Choice Health | Boon-Chapman | $2,538 |
| First Choice Health | First Choice Health | $2,538 |
| First Choice Health | First Choice Other | $2,538 |
| First Choice Health | Healthcomp Tpa | $2,538 |
| Allegiance | Allegiance Group Health | $2,598 |
| Allegiance | Allegiance Other | $2,598 |
| Allegiance | Cigna - Commercial | $2,598 |
| Allegiance | Cigna Sclhs Employees | $2,598 |
| Allegiance | Silver Bow County Employees | $2,598 |
| Cigna | Cigna Other | $2,598 |
| Cigna | Cigna POS/Qpos | $2,598 |
| Cigna | Cigna PPO | $2,598 |
| Cigna | Eighth Dist Elect Ben Pln | $2,598 |
| Mt Health Co-Op | Mountain Health Co-Op | $2,627 |
| Meritain Health | Meritain Health | $2,658 |
| Pacificsource | Pacificsource Voyager Network | $2,658 |
| Aetna | Aetna HMO/EPO | $2,687 |
| Aetna | Aetna POS/Qpos | $2,687 |
| Aetna | Aetna PPO | $2,687 |
| Multiplan Inc | Multiplan Inc Other | $2,687 |
| Multiplan Inc | Multiplan Inc PPO | $2,687 |
| BCBS/Anthem | BCBS Mt - Federal | $2,689 |
| BCBS/Anthem | BCBS Mt POS | $2,689 |
| BCBS/Anthem | BCBS Mt POS Exchange | $2,689 |
| Geha | Geha | $2,747 |
| United Healthcare | Golden Rule Ins | $2,747 |
| United Healthcare | UHC Charter/Navigate | $2,747 |
| United Healthcare | UHC Exchange Plan | $2,747 |
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