CT abdomen and pelvis with contrast at Southern Coos Hospital & Health Center. CPT 74177.

What Southern Coos Hospital & Health Center publishes for this service, straight from its standard-charges file, last updated June 19, 2026.

Outpatient / ER

$341cash price (self-pay)

$4,876list price

$72.74–$4,633range insurers pay

Insurance plan	Negotiated rate
Tricare West - All Plans \| Tricare West - All Plans	$1,452
Aetna Mcr Adv \| Aetna Mcr Adv	$1,651
Atrio Mcr Adv - Allplans \| Atrio Mcr Adv - Allplans	$1,651
Confederated Tribes - All Plans \| Confederated Tribes - All Plans	$1,651
Moda Mcr Adv \| Moda Mcr Adv	$1,651
Pacific Source Mcr Adv \| Pacific Source Mcr Adv	$1,651
Cigna - All Plans \| Cigna - All Plans	$2,003
Moda Health Plan - All Other Plans \| Moda Health Plan - All Other Plan	$2,246
Blue Cross - All Plans \| Blue Cross - All Plans	$2,345
Providence Preferred - All Plans \| Providence Preferred - All Plans	$2,402
Advanced Health - All Plans \| Advanced Health - All Plans	$3,072
Healthnet - All Plans \| Healthnet - All Plans	$4,047
Aetna - All Other Plans \| Aetna - All Other Plans	$4,389
UHC - All Plans \| UHC - All Plans	$4,389
Prov Netwrk Of America - All Plans \| Prov Netwrk Of America - All Plan	$4,389
Three Rivers - All Plans \| Three Rivers - All Plans	$4,389
First Choice - All Plans \| First Choice - All Plans	$4,486
Multiplan - All Plans \| Multiplan - All Plans	$4,535
First Health - All Plans \| First Health - All Plans	$4,633
Pacific Source - All Other Plans \| Pacific Source - All Other Plans	$4,633

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