CT abdomen and pelvis with contrast at Sky Lakes Medical Center. CPT 74177.
What Sky Lakes Medical Center publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$3,486cash price (self-pay)
$4,648list price
$397–$4,648range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| REGENCE BCBS PPO [1114] | Regence PPO Plans | $1,693 |
| Tribal Health Coquille [1088] | Coquille Tribal Health Fchn PPO | $4,648 |
| Shasta Administrators [1092] | Cigna Tribal Health Nesika | $4,648 |
| Ufcw [1095] | Ufcw | $4,648 |
| Ufcw [1095] | Beech St | $4,648 |
| Tribal Health Karuk [1090] | Karuk Tribal Health | $4,648 |
| Transamerica Life Ins [1087] | Transamerica Life Ins PPO Plans | $4,648 |
| Tribal Health Klamath [1091] | Klamath Tribal | $4,648 |
| Uct Insurance [1094] | Uct | $4,648 |
| Union Pacific Rr Emp Health [1096] | Union Pacific Rr Emp Health | $4,648 |
| Usaa Ins [1098] | Usaa Ins Co San Antonio | $4,648 |
| United American Ins [1097] | United American | $4,648 |
| Zenith Admin [1104] | Zenith Admin | $4,648 |
| Western Benefits [1101] | Western Benefits Portland | $4,648 |
| Western Teamsters Welfare [1103] | Western Teamsters Welfare | $4,648 |
| Washington National Ins [1099] | Washington National | $4,648 |
| Delta Health System [1107] | Interplan | $4,648 |
| Delta Health System [1107] | First Health | $4,648 |
| Delta Health System [1107] | Regence PPO | $4,648 |
| Combined Insurance [1106] | Combined Ins | $4,648 |
| Wausau Ins [1100] | Wausau Ins | $4,648 |
| Tantara [1110] | Interplan | $4,648 |
| Anthem Blue Cross Of California [1113] | Anthem Blue Cross Of Californ | $4,648 |
| HEALTHCARE MANAGEMENT ADMIN [1109] | Healthcare Management Administrat | $4,648 |
| UHC PPO [1112] | United Healthcare PPO Plans | $4,648 |
| Asuris Northwest Health [1117] | Multiplan/Phcs | $4,648 |
| Alaska Teamster [1116] | Beech St | $4,648 |
| Coordinated Benefit Plans [1124] | Beech St | $4,648 |
| Connecticut General Life [1122] | Beech St | $4,648 |
| Auic Org [1118] | Beech St | $4,648 |
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