CT abdomen and pelvis with contrast at Rosebud Health Care Center. CPT 74177.
What Rosebud Health Care Center publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$2,051cash price (self-pay)
$2,051list price
$294–$2,010range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B MT JF | Default | $294 |
| Medicaid Montana | Default | $1,300 |
| Medicare A MT JF | Default | $1,507 |
| Blue Cross Blue Shield of MT | Default | $1,743 |
| EBMS | Default | $1,846 |
| PacificSource Health Plans | Default | $1,969 |
| Mountain Health Co-Op | Default | $1,989 |
| Allegiance Benefit Plan Management | Default | $2,010 |
| Cigna | Default | $2,010 |
| UHC NTCA GROUP HEALTH PROGRAM | Default | $2,010 |
| United Healthcare | Default | $2,010 |
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