CT abdomen and pelvis with contrast at Overlake Hospital Medical Center. CPT 74177.
What Overlake Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,600cash price (self-pay)
$3,200list price
$405–$3,643range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Premera Medicare Managed Care Plan | $405 |
| Aetna | Medicare Managed Care Plan | $417 |
| Unitedhealthcare | Medicare Managed Care Plan | $421 |
| Molina | Exchange | $729 |
| Unitedhealthcare | All Commercial Plans | $749 |
| Blue Shield | Regence Ump Other Commercial Plan | $869 |
| Blue Shield | Regence Real Value Exchange | $970 |
| Blue Cross | Premera Heritage Prime Other Commercial Plan | $1,003 |
| Kaiser | All Commercial Plans | $1,065 |
| Cigna | Localplus Other Commercial Plan | $1,074 |
| Blue Shield | Regence All Commercial Plans | $1,078 |
| Aetna | All Commercial Plans | $1,089 |
| Cigna | Oap Other Commercial Plan | $1,108 |
| Cigna | Ppo | $1,353 |
| First Choice | Evergreen Employee Other Commercial Plan | $2,429 |
| First Choice | Health Administrators Tpa Other Commercial Plan | $2,429 |
| First Choice | Ppo | $2,429 |
| First Choice | Virginia Mason Hvn Other Commercial Plan | $2,429 |
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