CT abdomen and pelvis with contrast at Clallam County Public Hospital District #2 DBA Olympic Medical Center. CPT 74177.
What Clallam County Public Hospital District #2 DBA Olympic Medical Center publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$2,360cash price (self-pay)
$2,950list price
$276–$2,950range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coordinated Care Apple Health | Medicaid Advantage | $276 |
| Molina | Medicaid Advantage | $276 |
| Wellpoint | Medicaid Advantage | $289 |
| Community Healthplan of WA | Medicaid Advantage | $302 |
| United Healthcare | Medicaid Advantage | $302 |
| Regence | Medicare Advantage | $437 |
| Community Healthplan of Washington | Medicare Advantage | $479 |
| United Healthcare | Medicare Advantage | $479 |
| Wellcare | Medicare Advantage | $479 |
| Molina | Medicare Advantage | $562 |
| Regence | Uniform Medical | $1,649 |
| Community Healthplan of Washington | Cascade Select | $2,360 |
| Ambetter | Cascade Select | $2,655 |
| Ambetter | All Other Plans | $2,803 |
| Cigna | All Plans | $2,873 |
| Aetna | All Plans | $2,950 |
| First Choice Network | All Plans | $2,950 |
| HMA | All Plans | $2,950 |
| Lifewise | All Plans | $2,950 |
| Premera | All Plans | $2,950 |
| Regence | All Other Plans | $2,950 |
| United Healthcare | All Other Plans | $2,950 |
Inpatient
$2,360cash price (self-pay)
$2,950list price
$276–$2,950range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coordinated Care Apple Health | Medicaid Advantage | $276 |
| Molina | Medicaid Advantage | $276 |
| Wellpoint | Medicaid Advantage | $289 |
| Community Healthplan of WA | Medicaid Advantage | $302 |
| United Healthcare | Medicaid Advantage | $302 |
| Regence | Medicare Advantage | $437 |
| Community Healthplan of Washington | Medicare Advantage | $479 |
| United Healthcare | Medicare Advantage | $479 |
| Wellcare | Medicare Advantage | $479 |
| Molina | Medicare Advantage | $562 |
| Regence | Uniform Medical | $1,649 |
| Community Healthplan of Washington | Cascade Select | $2,360 |
| Ambetter | Cascade Select | $2,655 |
| Ambetter | All Other Plans | $2,803 |
| Cigna | All Plans | $2,873 |
| Aetna | All Plans | $2,950 |
| First Choice Network | All Plans | $2,950 |
| HMA | All Plans | $2,950 |
| Lifewise | All Plans | $2,950 |
| Premera | All Plans | $2,950 |
| Regence | All Other Plans | $2,950 |
| United Healthcare | All Other Plans | $2,950 |
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All common services at Clallam County Public Hospital District #2 DBA Olympic Medical Center