CT abdomen and pelvis with contrast at Gerald Champion Regional Medical Center. CPT 74177.
What Gerald Champion Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 12, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$293–$545range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan | Medicaid HMO | $293 |
| Presbyterian Health Plan | Medicaid HMO | $293 |
| United Healthcare | Medicaid HMO | $293 |
| BCBS-Nm | Centennial Care Medicaid HMO | $323 |
| BCBS-NM | Community Centennil | $323 |
| Molina | Medicaid HMO | $323 |
| AARP | Medicare HMO | $363 |
| Aetna | Medicare HMO | $363 |
| BCBS-MI | Medicare Plus Blue | $363 |
| BCBS-NM | Medicare HMO | $363 |
| Champus | Champva Center | $363 |
| Champus | Primary Care Solutions | $363 |
| Humana | Medicare HMO | $363 |
| Molina | Medicare HMO | $363 |
| United Healthcare | Medicare HMO | $363 |
| Veterans Affairs | Albuquerque | $363 |
| Veterans Affairs | El Paso | $363 |
| Veterans Affairs | PCCC Triwest | $363 |
| Veterans Evaluations Services | All Plans | $363 |
| Tricare | East Region | $366 |
| Tricare | For Life | $366 |
| Tricare | Nato West Healthnet | $366 |
| Tricare | Prime West Healthnet | $366 |
| Tricare | Standard West Healthnet | $366 |
| Allwell | Medicare HMO | $400 |
| Magellan | Medicare HMO | $403 |
| Presbyterian Health Plan | Medicare HMO | $403 |
| Friday Health Plan | Commercial | $545 |
| True Health New Mexico | Commercial | $545 |
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All common services at Gerald Champion Regional Medical Center