CT abdomen and pelvis with contrast at Blue Mountain Hospital District. CPT 74177.
What Blue Mountain Hospital District publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,462cash price (self-pay)
$5,090list price
$3,185–$5,841range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest - All Plans | Triwest - All Plans | $3,512 |
| Moda Comm - All Plans | Moda Comm - All Plans | $4,836 |
| Pacificsource - All Plans | Pacificsource - All Plans | $4,836 |
| BCBS Preferred | BCBS Preferred | $4,886 |
| Ods Comm Health - All Plans | Ods Comm Health - All Plans | $5,090 |
| Providence Pref - All Plans | Providence Pref - All Plans | $5,090 |
| BCBS Comm - All Other Plans | BCBS Comm - All Other Plans | $5,090 |
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