CT abdomen and pelvis with contrast at Sierra Vista Hospital. CPT 74177.
What Sierra Vista Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$188cash price (self-pay)
$6,907list price
$106–$6,769range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbsnm_turq_medicaid | BCBS New Mexico Turquoise Medicaid | $636 |
| Molina_turq_medicaid | Molina Turquoise Medicaid | $636 |
| Presby_turq_medicaid | Presbyterian Turquoise Medicaid | $636 |
| United_turq_medicaid | BCBS New Mexico Turquoise Medicaid | $636 |
| Tricare | Tricare | $1,529 |
| Friday_health_plan | Friday Health Plan | $2,531 |
| Medadv_bcbs | BCBS Medicare Advantage | $2,625 |
| Medadv_humana | Humana Medicare Advantage | $2,625 |
| Medadv_uhc | United Healthcare Medicare Advantage | $2,625 |
| Presby_medicare | Presbyterian Medicare Advantage | $2,625 |
| Wellmed | Wellmed | $2,625 |
| Medadv_molina | Molina Medicare Advantage | $2,756 |
| Presbyterian | Presbyterian Commercial | $2,893 |
| BCBS | Blue Cross Blue Shield | $3,074 |
| Zelis | Zelis Network Solutions | $3,074 |
| Multiplan | Multiplan | $3,254 |
| First_health | First Health Network | $3,363 |
| Humana | Humana Commercial | $3,544 |
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