CT abdomen and pelvis with contrast at Legacy Salmon Creek Medical Center. CPT 74177.
What Legacy Salmon Creek Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$157cash price (self-pay)
$739list price
$386–$1,578range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Commercial Plans | $386 |
| Atrio | Medicare Managed Care Plan | $400 |
| Aetna | Medicare Managed Care Plan | $408 |
| HealthNet | Medicare Managed Care Plan | $412 |
| PacificSource | Medicare Managed Care Plan | $420 |
| Cigna | Medicare Managed Care Plan | $428 |
| Moda | Medicare Managed Care Plan | $435 |
| PacificSource | Navigator All Commercial Plans | $481 |
| Kaiser | PEBB Other Commercial Plan | $778 |
| Cigna | All Commercial Plans | $1,027 |
| Cigna | LocalPlus All Commercial Plans | $1,027 |
| BCBS | Regence - Legacy LHP All Commercial Plans | $1,076 |
| PacificSource | Voyager All Commercial Plans | $1,099 |
| HealthNet | All Commercial Plans | $1,315 |
| BCBS | Regence - Blue HPN All Commercial Plans | $1,507 |
| BCBS | Regence All Commercial Plans | $1,578 |
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