CT abdomen and pelvis with contrast at St. Charles Madras. CPT 74177.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,895cash price (self-pay)
$4,869list price
$246–$4,772range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $345 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Gorge & Lane C | $359 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacifcSource Healthier Orego | $382 |
| AUTO NATIONWIDE ALLIED INSURANC [601] | Auto Insurance | $506 |
| AUTO PROGRESSIVE [608] | Auto Insurance | $506 |
| OTJ SEDGWICK CMS [660] | Oregon Workers Compensation | $506 |
| OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | $506 |
| OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensa | $506 |
| OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation | $506 |
| OTJ CORVEL [676] | Oregon Workers Compensation | $506 |
| OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | $506 |
| AUTO GEICO CLAIMS OREGON [606] | Auto Insurance | $506 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $768 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan PEBB OEBB | $831 |
| VETERANS [706] | Veteran Affairs | $1,169 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $1,169 |
| SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $1,169 |
| MEDICARE AB REBILL ALT PAYER [175] | Medicare | $1,169 |
| INDIAN HEALTH [704] | Medicare | $1,169 |
| MEDICARE [100] | Medicare | $1,169 |
| HEALTH NET MED ADV [135] | Medicare | $1,169 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $1,232 |
| TRICARE [705] | Tricare | $1,520 |
| PACIFICSOURCE [345] | PacificSource Voyager | $1,948 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $1,996 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $1,996 |
| HEALTH SHARE OHSU OHP [552] | Oregon Medicaid CCO | $1,996 |
| OREGON MEDICAID [500] | Oregon Medicaid | $1,996 |
| HEALTH SHARE [537] | Oregon Medicaid CCO | $1,996 |
| LAW ENFORCEMENT [701] | SCHS HB Oregon Department of Corrections | $2,415 |
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