CT abdomen and pelvis with contrast at Peterson Regional Medical Center. CPT 74177.
What Peterson Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
$4,745cash price (self-pay)
$7,300list price
$350–$6,935range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana ChoiceCare | Medicare Advantage | $350 |
| Aetna | Medicare Advantage | $357 |
| Devoted Health | Medicare Advantage | $379 |
| Blue Cross Blue Shield | Blue Essential | $382 |
| Blue Cross Blue Shield | Indemnity/Traditional | $382 |
| Blue Cross Blue Shield | Medicare Advantage | $382 |
| Blue Cross Blue Shield | POS/PPO | $382 |
| Ambetter/Superior Health | Commercial/Exchange | $421 |
| Superior HealthPlan | STAR/STAR+PLUS | $487 |
| Blue Cross Blue Shield | Managed Medicaid | $534 |
| Superior HealthPlan | CHIP | $534 |
| United Healthcare | STAR+PLUS | $1,807 |
| Aetna | Commercial | $5,840 |
| Humana ChoiceCare | PPO | $6,935 |
| United Healthcare | Commercial | $6,935 |
Inpatient
$4,745cash price (self-pay)
$7,300list price
$4,745–$6,935range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Health | Medicare Advantage | $4,745 |
| Aetna | Commercial | $5,840 |
| Blue Cross Blue Shield | Blue Essential | $6,716 |
| Blue Cross Blue Shield | Indemnity/Traditional | $6,716 |
| Blue Cross Blue Shield | Medicare Advantage | $6,716 |
| Blue Cross Blue Shield | POS/PPO | $6,716 |
| Humana ChoiceCare | PPO | $6,935 |
| United Healthcare | Commercial | $6,935 |
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