CT abdomen and pelvis with contrast at Portland Adventist Medical Center. CPT 74177.
What Portland Adventist Medical Center publishes for this service, straight from its standard-charges file, last updated May 26, 2026.
Outpatient / ER
$1,938cash price (self-pay)
$6,057list price
$246–$10,903range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pacific Source Comm - All Plans | Pacific Source Comm - All Plans | $246 |
| Ods - All Plans | Ods - All Plans | $310 |
| Care Oregon - All Plans | Care Oregon - All Plans | $330 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $388 |
| Humana Mcr Adv HMO - All Other Plans | Humana Mcr Adv HMO - All Other | $396 |
| Humana Mcr Adv PPO | Humana Mcr Adv PPO | $411 |
| Moda Mcr Adv | Moda Mcr Adv | $411 |
| UHC Mcr Adv | UHC Mcr Adv | $411 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $446 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $698 |
| Moda Conn Oebb/Syn Pebb | Moda Conn Oebb/Syn Pebb | $776 |
| Regence Ohsu Plus | Regence Ohsu Plus | $880 |
| Moda Affinity - All Other Plans | Moda Affinity - All Other Plans | $892 |
| Providence Hp - All Plans | Providence Hp - All Plans | $967 |
| Regence - All Other Plans | Regence - All Other Plans | $978 |
| Kaiser - All Other Plans | Kaiser - All Other Plans | $1,011 |
| Regence Preferred Mcr Adv | Regence Preferred Mcr Adv | $1,106 |
| Moda Select | Moda Select | $1,214 |
| Healthcare Resources - All Plans | Healthcare Resources - All Plans | $1,361 |
| Moda Connexus | Moda Connexus | $1,373 |
| Regence Mcr Adv | Regence Mcr Adv | $1,398 |
| Moda Synergy | Moda Synergy | $1,452 |
| Cigna - All Plans | Cigna - All Plans | $1,600 |
| Workers Comp | Workers Comp | $2,096 |
| Bc Premera First - All Plans | Bc Premera First - All Plans | $3,029 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $3,634 |
| Worldventure - All Plans | Worldventure - All Plans | $3,634 |
| First Choice - All Plans | First Choice - All Plans | $4,198 |
| Multiplan - All Plans | Multiplan - All Plans | $4,543 |
| Phcs - All Plans | Phcs - All Plans | $4,543 |
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