CT abdomen and pelvis with contrast at San Juan Regional Medical Center. CPT 74177.
What San Juan Regional Medical Center publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$2,849cash price (self-pay)
$5,698list price
$365–$30,672range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Presbyterian Mcare | Presbyterian Mcare | $365 |
| Humana Choicecare Mcare | Humana Choicecare Mcare | $382 |
| Presbyterian Health Plan - All Other Plans | Presbyterian Health Plan | $608 |
| Summit Admin Native Am Schools - All Plans | Summit Admin Native Am Sc | $3,989 |
| UHC - All Other Plans | UHC - All Other Plans | $4,342 |
| Cigna - All Plans | Cigna - All Plans | $4,438 |
| Friday/Nm Health Conn/True Health - All Plans | Friday/Nm Health Conn | $4,558 |
| Humana Choicecare Comm - All Other Plans | Humana Choicecare Comm - Al | $4,558 |
| San Juan County/Tall Tree - All Plans | San Juan County/Tall Tree - Al | $4,558 |
| Sw Healthnet - All Plans | Sw Healthnet - All Plans | $4,558 |
| Cimmarron Advantage PPO - All Plans | Cimmarron Advantage PPO - All Pl | $4,843 |
| Aetna - All Plans | Aetna - All Plans | $5,128 |
| Beech Street - All Plans | Beech Street - All Plans | $5,128 |
| UHC Mcaid | UHC Mcaid | $7,407 |
| Presbyterian Mcaid | Presbyterian Mcaid | $7,738 |
| Bc Of Nm Mcaid | Bc Of Nm Mcaid | $7,738 |
| Bc Of Nm Blue Advantage | Bc Of Nm Blue Advantage | $21,083 |
| Bc Of Nm Blue Community | Bc Of Nm Blue Community | $24,843 |
| Bc Of Nm HMO/PPO/Par/POS - All Other Plans | Bc Of Nm HMO/PPO/Par/POS | $30,672 |
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