CT abdomen and pelvis with contrast at Legacy Silverton Medical Center. CPT 74177.
What Legacy Silverton Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$157cash price (self-pay)
$739list price
$392–$828range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Atrio | Medicare Managed Care Plan | $392 |
| Aetna | Medicare Managed Care Plan | $411 |
| Ageright | Medicare Managed Care Plan | $431 |
| PacificSource | All Commercial Plans | $467 |
| PacificSource | SmartHealth/SmartChoice Other Commercial Plan | $467 |
| Kaiser | PEBB Other Commercial Plan | $784 |
| BCBS | Regence All Commercial Plans | $828 |
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