CT abdomen and pelvis with contrast at St Mark's Hospital. CPT 74177.
What St Mark's Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
$3,842cash price (self-pay)
$7,685list price
$443–$2,620range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | IFPLP | $443 |
| Cigna | OAPNBN | $500 |
| Cigna | Exclusive | $575 |
| Regence | FocalPointPlus | $648 |
| Regence | FocalPoint | $718 |
| Regence | Individual | $855 |
| Regence | Preferred | $855 |
| Regence | RealValue | $855 |
| Regence | Participating | $1,050 |
| Regence | Traditional | $1,050 |
| Aetna | PeakPreference | $1,576 |
| Aetna | StandardNetwork | $2,066 |
| Aetna | AetnaSignatureAdministrators | $2,552 |
| Aetna | UtahConnectedNetwork | $2,620 |
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