CT abdomen and pelvis with contrast at Providence Milwaukie Hospital. CPT 74177.
What Providence Milwaukie Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,221cash price (self-pay)
$2,961list price
$224–$2,119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence Health Plan | Connect Other Commercial Plan | $224 |
| Providence Health Plan | Signature, Choice, Extended Ppo Other Commerc | $243 |
| Providence Health Plan | Medicare Managed Care Plan | $382 |
| Allcare | Medicare Managed Care Plan | $388 |
| Unitedhealthcare | Medicare Managed Care Plan | $415 |
| Molina | Medicare Managed Care Plan | $419 |
| Careoregon | Medicare Managed Care Plan | $423 |
| Unitedhealthcare | Charter Other Commercial Plan | $511 |
| Unitedhealthcare | Core Other Commercial Plan | $560 |
| Molina Healthcare | Exchange | $710 |
| Unitedhealthcare | All Payer All Commercial Plans | $752 |
| Moda | Oebb All Commercial Plans | $776 |
| Bcbs | Regence All Commercial Plans | $1,515 |
| Moda | Non-Oebb All Commercial Plans | $2,119 |
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