CT abdomen and pelvis with contrast at Providence Sacred Heart Medical Center and Children's Hospital. CPT 74177.
What Providence Sacred Heart Medical Center and Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,151cash price (self-pay)
$3,289list price
$389–$2,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $389 |
| Aetna | Medicare Managed Care - Hmo | $400 |
| Aetna | Medicare Managed Care - Ppo | $404 |
| Unitedhealthcare | Medicare Managed Care Plan | $408 |
| Blue Shield | Asuris Medicare Managed Care Plan | $420 |
| Community Health Plan | Medicare Managed Care Plan | $428 |
| Cigna | Medicare Managed Care Plan | $467 |
| Molina | Exchange | $657 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $700 |
| Coordinated Care | Exchange | $719 |
| Blue Cross | Premera Heritage Signature Exchange | $772 |
| Kaiser | All Commercial Plans | $980 |
| Providence Health Plan | All Commercial Plans | $989 |
| Blue Cross | Premera All Commercial Plans | $998 |
| Blue Shield | Asuris All Commercial Plans | $1,015 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $1,049 |
| Unitedhealthcare | Navigate Exchange | $1,147 |
| Unitedhealthcare | All Commercial Plans | $1,290 |
| Cigna | All Commercial Plans | $1,317 |
| First Choice | All Commercial Plans | $1,375 |
| Aetna | All Commercial Plans | $2,650 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Providence Sacred Heart Medical Center and Children's Hospital