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CT abdomen and pelvis with contrast at Providence Willamette Falls Medical Center. CPT 74177.

What Providence Willamette Falls Medical Center 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 planNegotiated 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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All common services at Providence Willamette Falls Medical Center