CT abdomen and pelvis with contrast at North Country Hospital and Health Center. CPT 74177.
What North Country Hospital and Health Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$877cash price (self-pay)
$1,096list price
$0.97–$5,154range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | All Products - Facility | $92.17 |
| Cigna | Nurse Practioner/PA - Facility | $109 |
| Cigna | PCP & Specialist Providers - Facility | $128 |
| UHC | Medicare Advantage | $715 |
| BCBS | Blue Advantage | $1,374 |
| MVP | Medicare Advantage | $1,374 |
| UHC | All Products | $2,576 |
| VT WC | Workers Comp | $2,830 |
| BCBS | Tvhp | $4,586 |
| BCBS | Health Partnership | $4,666 |
| Harvard Pilgrim Healthcare | All Products | $4,694 |
| BCBS | Indemnity | $4,780 |
| MVP | All Products | $5,094 |
| Cigna | All Products | $5,124 |
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All common services at North Country Hospital and Health Center