CT abdomen and pelvis with contrast at Providence St Luke's Rehabilitation Medical Center. CPT 74177.
What Providence St Luke's Rehabilitation Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,472cash price (self-pay)
$3,532list price
$298–$853range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Premera All Commercial Plans | $389 |
| Aetna | Medicare Managed Care - Hmo | $400 |
| Aetna | Medicare Managed Care - Ppo | $404 |
| Unitedhealthcare | Medicare Managed Care Plan | $408 |
| Blue Shield | Regence Medicare Managed Care Plan | $420 |
| Community Health Plan | Medicare Managed Care Plan | $428 |
| Blue Cross | Premera - Lifewise Primary Other Commercial Plan | $700 |
| Aetna | All Commercial Plans | $724 |
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All common services at Providence St Luke's Rehabilitation Medical Center