CT abdomen and pelvis with contrast at Stillwater Medical Center. CPT 74177.
What Stillwater Medical Center publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$5,839cash price (self-pay)
$7,299list price
$364–$6,569range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | All Plans | $364 |
| Veterans Administration | All Plans | $364 |
| Healthcare Highways | Sync | $637 |
| Coventry | All Plans | $800 |
| HealthChoice | All Plans | $824 |
| EBMS (Employee Benefit Management Services Inc.) | All Plans | $873 |
| BCBS of OK | All Plans | $978 |
| Aetna | All Plans | $3,650 |
| Cigna | All Plans | $3,722 |
| Community Care | HMO | $4,744 |
| UHC | All Plans | $4,890 |
| First Health | All Plans | $6,204 |
| OSMA Health | All Plans | $6,423 |
| Multiplan | All Plans | $6,569 |
| Preferred Community Choice | All Plans | $6,569 |
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