CT abdomen and pelvis with contrast at Chelan County Public Hospital District No 1. CPT 74177.
What Chelan County Public Hospital District No 1 publishes for this service, straight from its standard-charges file, last updated May 15, 2026.
Outpatient / ER
$349cash price (self-pay)
$2,360list price
$95.62–$3,856range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare West | Default | $320 |
| First Choice Health Network | Default | $427 |
| PacificSource Health Plans | Default | $427 |
| Washington Department of Labor and Industry | Default | $519 |
| Asuris Northwest Health | Medicare Advantage | $1,244 |
| Medicaid Washington | Default | $1,261 |
| Aetna | Medicare Advantage | $1,286 |
| Blue Cross of WA Premera | Medicare Advantage | $1,286 |
| Humana | Medicare Advantage | $1,286 |
| Medicare A WA JF | Default | $1,286 |
| Molina Healthcare of Washington MCR Adv | Default | $1,299 |
| Community Health Plan of WA MCD Rep | Medicaid Replacement | $1,313 |
| Coordinated Care of WA MCD Rep | Default | $1,313 |
| Molina Healthcare of Washington MCD Rep | Default | $1,313 |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $1,389 |
| AMBETTER FROM COORDINATED CARE | Default | $1,480 |
| Community Health Plan of WA | Default | $1,534 |
| Blue Cross of WA Premera | Default | $1,794 |
| Cigna | Default | $1,973 |
| Cigna | Medicaid Replacement | $1,973 |
| Cigna | Medicare Advantage | $1,973 |
| Aetna | Default | $2,124 |
| Asuris Northwest Health | Default | $2,124 |
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All common services at Chelan County Public Hospital District No 1