CT abdomen and pelvis with contrast at Fall River Health Services. CPT 74177.
What Fall River Health Services publishes for this service, straight from its standard-charges file, last updated February 1, 2026.
Outpatient / ER
$6,278cash price (self-pay)
$6,278list price
$5,242–$6,278range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Telephone Cooperative Assn 52103 [3081149] | Ntca 52103 Bene | $5,242 |
| National Telephone Cooperative Assn 52103 [3081149] | Ntca 39026 Unit | $5,242 |
| United Healthcare (Commercial) [3081199] | United Healthcare 87726 [30 | $5,242 |
| United Healthcare (Commercial) [3081199] | Geha 39026 United Health Sh | $5,242 |
| United Healthcare (Commercial) [3081199] | All Savers [308119915] | $5,242 |
| United Medical Resources 39026 [3081194] | Umr [308119401] | $5,242 |
| United Medical Resources 39026 [3081195] | Umr Nreca [308119501] | $5,242 |
| Coventry Health Care 25133 [3081067] | Coventry Health Care [30810670 | $5,462 |
| First Choice Health Administrators 91131 [3081214] | First Choice Hea | $5,964 |
| First Choice Commercial [3081086] | First Choice Health Asi [30810860 | $5,964 |
| Healthpartners [3081368] | Healthpartners Mh Employees HDHP [308136802 | $5,964 |
| Healthpartners [3081368] | Healthpartners Mh Employees PPO [308136801] | $5,964 |
| Healthpartners Sx009 [3081102] | Healthpartners [308110201] | $5,964 |
| Midlands Choice 47080 [3081136] | Midlands Choice [308113601] | $5,964 |
| Sanford Health Plan 91184 [3081174] | Sanford Health Plan [308117401] | $5,964 |
| Aetna 60054 [3081002] | Aetna [308100201] | $6,090 |
| Avera Health Plans 46045 [3081018] | Avera Health [308101801] | $6,090 |
| Cigna 62308 [3081051] | Cigna 62308 [308105105] | $6,090 |
| Cigna 62308 [3081051] | Cigna 80705 [308105106] | $6,090 |
| Cigna 62308 [3081051] | Cigna Generic [308105199] | $6,090 |
| Cigna 62308 [3081051] | Allegiance Cigna [308105109] | $6,090 |
| Cigna 62308 [3081051] | Priority Health [308105108] | $6,090 |
| Cigna [3081052] | Cigna [308105201] | $6,090 |
| Multiplan Inc 34080 [3081285] | Multiplan Inc [308128501] | $6,090 |
| Tlc Advantage LLC [3081189] | Tlc Adv LLC [308118901] | $6,090 |
| Blue Cross Blue Shield Federal Sb889 [3081027] | BCBS Federal [3081027 | $6,278 |
| Blue Cross Blue Shield Wellmark Sb889 [3081026] | BCBS South Dakota [ | $6,278 |
Inpatient
$6,278cash price (self-pay)
$6,278list price
$5,242–$6,278range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Telephone Cooperative Assn 52103 [3081149] | Ntca 52103 Bene | $5,242 |
| National Telephone Cooperative Assn 52103 [3081149] | Ntca 39026 Unit | $5,242 |
| United Healthcare (Commercial) [3081199] | United Healthcare 87726 [30 | $5,242 |
| United Healthcare (Commercial) [3081199] | Geha 39026 United Health Sh | $5,242 |
| United Healthcare (Commercial) [3081199] | All Savers [308119915] | $5,242 |
| United Medical Resources 39026 [3081194] | Umr [308119401] | $5,242 |
| United Medical Resources 39026 [3081195] | Umr Nreca [308119501] | $5,242 |
| Coventry Health Care 25133 [3081067] | Coventry Health Care [30810670 | $5,462 |
| First Choice Health Administrators 91131 [3081214] | First Choice Hea | $5,964 |
| First Choice Commercial [3081086] | First Choice Health Asi [30810860 | $5,964 |
| Healthpartners [3081368] | Healthpartners Mh Employees HDHP [308136802 | $5,964 |
| Healthpartners [3081368] | Healthpartners Mh Employees PPO [308136801] | $5,964 |
| Healthpartners Sx009 [3081102] | Healthpartners [308110201] | $5,964 |
| Midlands Choice 47080 [3081136] | Midlands Choice [308113601] | $5,964 |
| Sanford Health Plan 91184 [3081174] | Sanford Health Plan [308117401] | $5,964 |
| Aetna 60054 [3081002] | Aetna [308100201] | $6,090 |
| Avera Health Plans 46045 [3081018] | Avera Health [308101801] | $6,090 |
| Cigna 62308 [3081051] | Cigna 62308 [308105105] | $6,090 |
| Cigna 62308 [3081051] | Cigna 80705 [308105106] | $6,090 |
| Cigna 62308 [3081051] | Cigna Generic [308105199] | $6,090 |
| Cigna 62308 [3081051] | Allegiance Cigna [308105109] | $6,090 |
| Cigna 62308 [3081051] | Priority Health [308105108] | $6,090 |
| Cigna [3081052] | Cigna [308105201] | $6,090 |
| Multiplan Inc 34080 [3081285] | Multiplan Inc [308128501] | $6,090 |
| Tlc Advantage LLC [3081189] | Tlc Adv LLC [308118901] | $6,090 |
| Blue Cross Blue Shield Federal Sb889 [3081027] | BCBS Federal [3081027 | $6,278 |
| Blue Cross Blue Shield Wellmark Sb889 [3081026] | BCBS South Dakota [ | $6,278 |
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