CT abdomen and pelvis with contrast at Willamette Valley Medical Center. CPT 74177.
What Willamette Valley Medical Center publishes for this service, straight from its standard-charges file, last updated July 23, 2026.
Outpatient / ER
—cash price (self-pay)
$5,119list price
$513–$3,863range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare_east | 8901_1 | $513 |
| Tricare_for_life | 8103_1 | $513 |
| Tricare_west_active_duty | 8459_1 | $513 |
| Tricare_west_retired | 8955_1 | $513 |
| Devoted_mcare_adv | 70334_1 | $529 |
| Cigna_hlth_exchange | 36669_1 | $978 |
| Cigna_ppo | 36603_1 | $978 |
| Cigna_ppo_limited_benefit | 36607_1 | $978 |
| Kaiser_permanente_hmo | 61007_1 | $1,009 |
| Blue_cross_hlth_exchange | 32369_1 | $1,076 |
| Blue_cross_or_par | 30701_1 | $1,076 |
| Medicare_inpatient_part_b | 1253_1 | $1,309 |
| Medicare_ip_pt_b_med_nec | 1288_1 | $1,309 |
| Medicare_part_a_only | 1254_1 | $1,309 |
| Medicare_part_b_full_op | 1289_1 | $1,309 |
| Medicare_pt_a_and_b | 1251_1 | $1,309 |
| Uhc_surest | 94627_1 | $1,347 |
| Uhc_umr | 92318_1 | $1,347 |
| United_healthcare_hmo | 92301_1 | $1,347 |
| Providence_state_employee | 80811_1 | $1,401 |
| Providence_behavioral_hlt | 80809_1 | $1,565 |
| Providence_hlth_exchange | 79869_1 | $1,565 |
| Providence_signature | 80810_1 | $1,565 |
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