CT abdomen and pelvis with contrast at Presbyterian Santa Fe Medical Center. CPT 74177.
What Presbyterian Santa Fe Medical Center 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
$364–$2,696range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Presbyterian Health Plan | Medicare Managed Care - Hmo | $364 |
| Unitedhealthcare | Medicare Managed Care Plan | $375 |
| Bcbs | Medicare Managed Care Plan | $379 |
| Aetna | Medicare Managed Care Plan | $383 |
| Molina Healthcare | Medicare Managed Care Plan | $390 |
| Humana | Medicare Managed Care Plan | $397 |
| Western Sky Community Care | Medicare Managed Care Plan | $401 |
| Presbyterian Health Plan | Select/Silver Select Plan Other Commercial | $510 |
| Wellpoint | Formerly Amerigroup Medicare Managed Care Plan | $638 |
| Presbyterian Health Plan | All Commercial Plans | $2,696 |
| Presbyterian Health Plan | Aso Employee | $2,696 |
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