CT abdomen and pelvis with contrast at Mountainview Hospital. CPT 74177.
What Mountainview Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
$18,657cash price (self-pay)
$18,657list price
$94.00–$1,205range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Care Health | MGMCD | $247 |
| Sierra HPN | MCD | $247 |
| Molina Healthcare | MCD | $257 |
| Aetna | HMO | $596 |
| Aetna | PPO | $596 |
| United | AllPayerAppendix | $828 |
| Cigna | OAP | $851 |
| Legacy Provider Network | WORKERSCOMP | $1,085 |
| CorVel | WORKERSCOMP | $1,145 |
| Comp-Med Workers Comp | WORKERSCOMP | $1,169 |
| Olympus MedSave USA | WCOMP | $1,205 |
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