CT abdomen and pelvis with contrast at Rural Wellness Fairfax. CPT 74177.
What Rural Wellness Fairfax publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$1,264cash price (self-pay)
$2,107list price
$780–$2,529range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthChoice | Commercial | $824 |
| Tricare | Standard | $936 |
| BCBS | Traditional | $964 |
| BCBS | Blue Advantage | $964 |
| BCBS | Choice | $964 |
| BCBS | Preferred | $964 |
| BCBS | Native Blue | $964 |
| BCBS | Blue LinCS | $964 |
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