CT abdomen and pelvis with contrast at North Vista Hospital. CPT 74177.
What North Vista Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$379cash price (self-pay)
$12,736list price
$245–$12,736range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sierra (HPN) Medicaid | HPN Medicaid | $245 |
| Anthem BCBS | Anthem Medicaid | $248 |
| Silver Summit | Silver Summit Medicaid | $248 |
| Traditional Medicaid | Traditional Medicaid | $248 |
| Molina Healthcare | Molina Medicaid | $253 |
| UHC | UHC Commercial All Payer | $309 |
| UHC | UHC Options PPO | $309 |
| Triwest | Triwest | $376 |
| Anthem BCBS | Anthem Medicare | $379 |
| Health Net Federal Services Tricare | Health Net Federal Services Tric | $379 |
| Intermountain Healthcare (HCP) | Healthcare Partner SR Medicare | $379 |
| Molina Healthcare | Molina Medicare | $379 |
| Renal Payor Solutions | Renal Payer Solutions Medicare | $379 |
| Silver Summit | Silver Summit Medicare | $379 |
| Traditional Medicare | Traditional Medicare | $379 |
| Tricare | Tricare | $379 |
| Aetna | Aetna Medicare | $379 |
| Alignment | Alignment Medicare | $387 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $531 |
| Imperial Insurance Companies | Imperial Insurance Company Exchange | $569 |
| Imperial Insurance Companies | Imperial Insurance Company Medicare | $569 |
| Aetna | Aetna Commercial | $585 |
| Naphcare | Naphcare | $588 |
| Silver Summit | Silver Summit Commercial Insurance Exchange | $607 |
| Anthem BCBS | Anthem Exchange | $678 |
| Intermountain Healthcare (HCP) | Healthcare Partner Commercial | $683 |
| Imperial Insurance Companies | Imperial Insurance Company Commercial | $702 |
| Health Services Coalition | Health Services Coalition | $721 |
| Nevada Health Partners | Nevada Health Partners (% of Medicare) | $726 |
| 6 Degrees Health | 6 Degrees Commercial | $759 |
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