CT abdomen and pelvis with contrast at Presbyterian Espanola Hospital. CPT 74177.
What Presbyterian Espanola Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,994cash price (self-pay)
$5,705list price
$352–$1,898range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Presbyterian Health Plan | Medicare Managed Care - Hmo | $352 |
| Care Improvement Plus | Medicare Managed Care Plan | $362 |
| Bcbs | Medicare Managed Care Plan | $366 |
| Aetna | Medicare Managed Care Plan | $369 |
| Molina Healthcare | Medicare Managed Care Plan | $376 |
| Humana | Medicare Managed Care Plan | $383 |
| Western Sky Community Care | Medicare Managed Care Plan | $387 |
| Presbyterian Health Plan | Select/Silver Select Plan Other Commercial | $538 |
| Wellpoint | Formerly Amerigroup Medicare Managed Care Plan | $616 |
| Presbyterian Health Plan | All Commercial Plans | $1,823 |
| Presbyterian Health Plan | Aso Employee | $1,823 |
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