CT abdomen and pelvis with contrast at Northeastern Vermont Regional Hospital. CPT 74177.
What Northeastern Vermont Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 27, 2026.
Outpatient / ER
$825cash price (self-pay)
$1,100list price
$290–$1,045range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B VT JK | All Plans | $290 |
| Medicaid Vermont | All Plans | $367 |
| Martins Point | All plans | $396 |
| Medicare A VT JK | All Plans | $399 |
| Blue Cross Blue Shield of VT | Anthem IQHP | $419 |
| Blue Cross Blue Shield of VT | Managed Care | $921 |
| Cigna | All Commerical | $935 |
| Harvard Pilgrim HealthCare | All other plans | $1,023 |
| Harvard Pilgrim HealthCare | NVRH Employee plan | $1,023 |
| Mohawk Valley Physicians MVP Health Care | All plans | $1,045 |
| United Healthcare | All plans | $1,045 |
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All common services at Northeastern Vermont Regional Hospital