CT abdomen and pelvis with contrast at Northcrest Medical Center. CPT 74177.
What Northcrest Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$11,195cash price (self-pay)
$11,195list price
$341–$9,180range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $341 |
| United | Core | $341 |
| United | HeritageSelect | $341 |
| Aetna | COMM | $459 |
| Aetna | NewBusiness | $459 |
| Molina | MCD | $784 |
| NHC Advantage, Inc. | MCRHMO | $2,127 |
| United | OptionsPPO | $2,407 |
| Cigna | PPO | $3,280 |
| United | GlobalBenefitPlan | $5,038 |
| Aetna | NAP | $5,597 |
| City of Springfield | COMM | $7,277 |
| Multiplan | ComplementaryNetwork | $8,732 |
| Multiplan | PrimaryNetwork | $9,180 |
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