CT abdomen and pelvis with contrast at Mission Regional Medical Center. CPT 74177.
What Mission Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$348cash price (self-pay)
$9,402list price
$312–$7,521range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Superior Health Plan CHIP Medicaid | $312 |
| Molina | Molina CHIP Medicaid | $331 |
| Aetna | Aetna Medicare Advantage | $349 |
| BCBS | BCBS Medicare Advanatage | $349 |
| Cigna HealthSpring (FKA Bravo) | Cigna Healthspring MMP | $349 |
| Superior Health Plan | Superior Health Plan Medicare Advantage | $349 |
| Superior Health Plan | Superior Health Plan MMP | $349 |
| Traditional Medicare | Traditional Medicare | $349 |
| Tricare | Tricare East | $349 |
| Triwest (BCBS) | Triwest BCBS | $349 |
| United Healthcare Managed Care | UHC Medicare Advantage | $349 |
| Cigna HealthSpring (FKA Bravo) | Cigna Healthspring Medicare Advantage | $354 |
| Molina | Molina Medicare | $366 |
| Imperial Insurance Companies | Imperial Medicare Advantage | $370 |
| Employer Direct Healthcare | Employer Direct Healthcare commercial | $453 |
| FRONTIER HEALTH (FKA Asserta Health) | FRONTIER HEALTH (FKA Asserta He | $453 |
| Magic Valley Electric Cooperative | Magic Valley Electric Cooperative | $453 |
| Superior Health Plan | Superior Health Plan Commercial Exchange EPO-HM | $453 |
| Corporate Remedies | Corporate Remedies Workers Compensation | $523 |
| Molina | Molina Insurance Exchange | $541 |
| Naphcare | Naphcare Medicare | $541 |
| Driscoll Health Plan Medicaid | Driscoll Health Plan STAR KIDS Medicai | $584 |
| Superior Health Plan | Superior Health Plan KIDS Medicaid | $584 |
| United Healthcare Managed Care | UHC KIDS Medicaid | $584 |
| BCBS | BCBS Medicaid | $602 |
| Cigna HealthSpring (FKA Bravo) | Cigna Healthspring FKA Bravo Medicaid | $602 |
| Driscoll Health Plan Medicaid | Driscoll Health Plan Medicaid | $602 |
| Superior Health Plan | Superior STAR Health Plan Medicaid | $602 |
| United Healthcare Managed Care | United Healthcare STAR Medicaid | $602 |
| Cigna HealthSpring (FKA Bravo) | Cigna Healthspring FKA Bravo STAR PLU | $634 |
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