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CT abdomen and pelvis with contrast at Valley Regional Hospital. CPT 74177.

What Valley Regional Hospital publishes for this service, straight from its standard-charges file, last updated June 6, 2026.

Outpatient / ER

$2,436cash price (self-pay)
$4,429list price
$71.74–$4,429range insurers pay
Insurance planNegotiated rate
Nh Healthy Families | Nh Healthy Families$235
Well Sense Health Plan | Well Sense Health Plan$917
Amerihealth Caritas Nh | Amerihealth Caritas Nh$1,115
Nh Medicaid | Nh Medicaid$1,409
Nh Medicaid | Nh Medicaid Disability$1,409
Health Plans Inc | Health Plans Inc$1,885
Harvard Pilgrim Healthcre | Harvard Pilgrim Healthcar$2,080
Medicare HMO | Cigna Medicare Advantage$2,303
Self Pay Discount | Self Pay Discount$2,436
Harvard Pilgrim Nhpap | Harvard Nhpap$2,578
Vr Health Plans Inc | Health Plans Inc$2,657
Ambetter | Ambetter$3,007
Nh Bcbcs HMO | Nh BCBS HMO$3,533
Cigna Healthcare | Cigna Healthcare$3,548
Gwh Cigna Med Claims | Gwh Cigna Med Claims$3,548
Apwu | Apwu$3,548
Mvp Select Care | Mvp Select Care$3,548
Nalc | Nalc$3,548
Cigna Healthcare | Evernorth Behavioral$3,548
Nh Blue Cross | Nh BCBS PPO$3,618
BCBS Federal | BCBS Federal$3,618
Tufts Health Plan | Tufts Health Plan$3,620
Tufts Health Plan | Tufts Health Pln Carelink$3,620
United Healthcare | United Healthcare$3,815
Aarp | Aarp$3,834
Golden Rule | Golden Rule$3,834
Oxford Health Plan | Oxford Health Plan$3,834
Umr | Umr$3,834
United Behavioral Health | United Behavioral Health$3,834
Vt Blue Cross | Vt Blue Cross$3,942
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All common services at Valley Regional Hospital