CT abdomen and pelvis with contrast at Sheridan Memorial Hospital. CPT 74177.
What Sheridan Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$4,187cash price (self-pay)
$5,052list price
$4,187–$5,287range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Choice Health Network - All Plans | First Choice Health Network | $4,546 |
| Aetna - All Plans | Aetna - All Plans | $4,647 |
| Ebms - All Plans | Ebms - All Plans | $4,799 |
| Three Rivers Network - All Plans | Three Rivers Network - All Plans | $4,799 |
| Montana Health Cooperative - All Plans | Montana Health Cooperative - | $4,900 |
| Pacific Source - All Plans | Pacific Source - All Plans | $4,900 |
| Interwest PPO - All Other Plans | Interwest PPO - All Other Plans | $4,900 |
| Interwest Trad | Interwest Trad | $4,900 |
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