CT abdomen and pelvis with contrast at Fairview Regional Medical Center. CPT 74177.
What Fairview Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 1, 2026.
Outpatient / ER
$3,063cash price (self-pay)
—list price
$274–$1,838range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 1837.8 | Medicaid | $274 |
| 1837.8 | Aetna | $385 |
| 1837.8 | Healthchoice | $453 |
| 1837.8 | BCBS | $868 |
| 1837.8 | Medicare | $1,742 |
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