CT abdomen and pelvis with contrast at Cache Valley Hospital. CPT 74177.
What Cache Valley Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
$4,020cash price (self-pay)
$4,020list price
$443–$1,181range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | IFPLP | $443 |
| Regence | FocalPointPlus | $472 |
| Cigna | OAPNBN | $500 |
| Regence | FocalPoint | $523 |
| Cigna | Exclusive | $575 |
| Regence | Individual | $623 |
| Regence | Preferred | $623 |
| Regence | RealValue | $623 |
| Aetna | PeakPreference | $710 |
| Regence | Participating | $766 |
| Regence | Traditional | $766 |
| Aetna | StandardNetwork | $931 |
| Aetna | AetnaSignatureAdministrators | $1,150 |
| Aetna | UtahConnectedNetwork | $1,181 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.