CT abdomen and pelvis with contrast at Astria Sunnyside Hospital. CPT 74177.
What Astria Sunnyside Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,648cash price (self-pay)
$4,981list price
$369–$5,316range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Uhc_medicare | Medicare | $369 |
| Coordinated_care_medicaid | Medicaid | $952 |
| Health_alliance_medicare_advantage | Medicare | $1,099 |
| Aetna_medicare | Medicare | $1,221 |
| Amerigroup_medicaid | Medicaid | $1,221 |
| Chpw_medicaid | Medicaid | $1,221 |
| Healthcomp_ihs | Medicare | $1,221 |
| Hma_ihs_medicare | Medicare | $1,221 |
| Humana_medicare | Medicare | $1,221 |
| Kaiser_medicare | Medicare | $1,221 |
| Medicaid | Medicaid | $1,221 |
| Medicare | Medicare | $1,221 |
| Molina | Commercial | $1,221 |
| Molina_medicare | Medicare | $1,221 |
| Premera_medicare_advantage | Medicare | $1,221 |
| Signal_health_medicare | Medicare | $1,221 |
| Va | Medicare | $1,221 |
| Regence_medicare | Medicare | $1,234 |
| Tricare | Medicare | $1,234 |
| Chpw_medicare | Medicare | $1,258 |
| Uhc_medicaid | Medicaid | $1,258 |
| Coordinated_care_medicaid_ambetter | Medicaid | $1,527 |
| Regence | Commercial | $2,560 |
| Cigna | Commercial | $2,988 |
| Li | Commercial | $3,058 |
| First_choice | Commercial | $3,735 |
| Tpsc | Commercial | $3,885 |
| Kaiser | Commercial | $3,911 |
| Premera | Commercial | $4,054 |
| UHC | Commercial | $4,233 |
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