CT abdomen and pelvis with contrast at Mountainview Regional Medical Center. CPT 74177.
What Mountainview Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,433cash price (self-pay)
$16,417list price
$325–$14,447range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $325 |
| NODE Medicare Non Par | NODE Medicare Non Par | $340 |
| NODE Medicare Traditional | NODE Medicare Traditional | $340 |
| NODE Molina MCR ADV | NODE Molina MCR ADV | $340 |
| Presbyterian | NODE Presbyterian MCR ADV | $340 |
| Department of Veterans Affairs | NODE ChampVA | $345 |
| NODE Tricare | NODE Tricare | $345 |
| NODE TriWest | NODE TriWest | $345 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $350 |
| United Healthcare | NODE UHC MCR ADV | $350 |
| BCBS Medicaid NM | BCBS Medicaid NM | $356 |
| Presbyterian | Presbyterian Medicaid NM | $356 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $357 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $357 |
| 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 |
| Medicaid Non Par | NM Medicaid NON PAR | $368 |
| Molina | Molina Medicaid NM | $374 |
| United Healthcare | UHC Medicaid NM | $392 |
| US Department of Labor | NODE US Dept of Labor | $432 |
| Cigna | Cigna All | $489 |
| Naphcare Federal Prison | NODE Naphcare | $604 |
| Work Comp NM | Work Comp NM | $642 |
| NODE Molina Health Exchange | NODE Molina Health Exchange | $642 |
| NODE BCBS NM Federal | NODE BCBS NM State Employees | $691 |
| UHC | UHC Apa | $1,233 |
| Self Pay | Self Pay | $4,433 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $8,438 |
| Presbyterian Commercial | Presbyterian Commercial | $9,333 |
Inpatient
$7,880cash price (self-pay)
$16,417list price
$5,910–$14,447range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Work Comp NM | Work Comp NM | $5,910 |
| Self Pay | Self Pay | $7,880 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $8,438 |
| Zelis NMMIP | Zelis NMMIP | $10,343 |
| Pchs | Phcs | $11,164 |
| Zelis | Zelis | $11,492 |
| First Health | First Health | $12,313 |
| Aetna | Aetna | $13,134 |
| Admar PPO | Admar PPO | $14,447 |
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