CT abdomen and pelvis with contrast at Eastern New Mexico Medical Center. CPT 74177.
What Eastern New Mexico Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,104cash price (self-pay)
$14,781list price
$306–$14,042range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dept of Health | Dept of Health | $306 |
| Veterans Eval Services | Veterans Eval Services | $325 |
| NODE Medicare Non Par | NODE Medicare Non Par | $340 |
| NODE Medicare Traditional | NODE Medicare Traditional | $340 |
| NODE Presbyterian MCR ADV | NODE Presbyterian MCR ADV | $340 |
| NODE Molina MCR ADV | NODE Molina MCR ADV | $343 |
| NODE ChampVA | NODE ChampVA | $345 |
| Tricare | NODE Tricare | $345 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $345 |
| TriWest | NODE TriWest | $345 |
| Node BCBS Nm Mcr Adv | Node BCBS Nm Mcr Adv | $350 |
| BCBS Nm Mcd | BCBS Nm Mcd | $356 |
| Presbyterian MCD | Presbyterian MCD | $356 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $357 |
| NODE Humana MCR ADV | NODE Humana MCR ADV | $357 |
| NM Medicaid | NM Medicaid | $368 |
| NM Medicaid Non Par | NM Medicaid Non Par | $368 |
| Molina Medicaid NM | Molina Medicaid NM | $374 |
| UHC Medicaid NM | UHC Medicaid NM | $392 |
| NM Work Comp | NM Work Comp | $642 |
| Health Connections | Health Connections | $760 |
| NODE Molina Health Exchange | NODE Molina Health Exchange | $943 |
| Capstar | Capstar | $1,385 |
| Self Pay | Self Pay | $3,104 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $7,745 |
| BCBS Nm All | BCBS Nm All | $8,477 |
| UHC Apa | UHC Apa | $9,238 |
| Zelis NMMIP | Zelis NMMIP | $9,312 |
| Presbyterian Commercial | Presbyterian Commercial | $9,951 |
| BCBS NM | BCBS NM Exchange | $10,344 |
Inpatient
$5,765cash price (self-pay)
$14,781list price
$5,321–$13,746range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NM Work Comp | NM Work Comp | $5,321 |
| Self Pay | Self Pay | $5,765 |
| Capstar | Capstar | $6,651 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $7,745 |
| UHC Apa | UHC Apa | $9,238 |
| Zelis NMMIP | Zelis NMMIP | $9,312 |
| FirstCare TX | FirstCare TX | $11,086 |
| Admar | Admar | $11,825 |
| Omni | Omni | $11,825 |
| Multiplan Primary | MultiPlan Primary | $12,416 |
| Aetna | Aetna ALL | $12,446 |
| Healthsmart | Healthsmart | $12,564 |
| Multiplan Complementary | Multiplan Complementary | $12,859 |
| Zelis | Zelis | $13,007 |
| Affordable | Affordable | $13,746 |
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