CT abdomen and pelvis with contrast at Salem Health. CPT 74177.
What Salem Health publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,485cash price (self-pay)
$2,802list price
$388–$1,698range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Samaritan | Medicare Managed Care Plan | $388 |
| Kaiser | Medicare Managed Care Plan | $411 |
| AgeRight Advantage Health Plan | Medicare Managed Care Plan | $415 |
| Aetna | Medicare Managed Care Plan | $427 |
| Atrio | Medicare Managed Care Plan | $434 |
| Kaiser | OEBB Other Commercial Plan | $776 |
| Kaiser | All Commercial Plans | $1,249 |
| Providence Health Plan | SAIF Other Commercial Plan | $1,641 |
| Providence Health Plan | Individual EPO | $1,654 |
| Providence Health Plan | All Commercial Plans | $1,698 |
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