CT abdomen and pelvis with contrast at Snoqualmie Valley Health. CPT 74177.
What Snoqualmie Valley Health publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$231cash price (self-pay)
$3,485list price
$168–$6,045range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of WA Regence | Default | $585 |
| Aetna Medicare Advantage | Medicare Advantage | $1,468 |
| Humana Advantage Care Plans Med Advantage | Medicare Advantage | $1,483 |
| Washington Coordinated Care | Default | $1,498 |
| United Healthcare | Medicare Advantage | $1,535 |
| AmeriGroup Wellpoint | Medicare Advantage | $1,559 |
| Community Health Plan of WA | Medicare Advantage | $1,559 |
| Medicare | Default | $1,559 |
| Molina Healthcare of Washington MCR Adv | Medicare Advantage | $1,559 |
| Blue Shield of WA Regence MCR Adv | Medicare Advantage | $1,573 |
| Community Health Plan of WA | Default | $1,591 |
| Molina Healthcare of Washington | Default | $1,591 |
| Community Health Plan of WA MCD Rep | Medicaid Replacement | $1,626 |
| Medicaid Washington | Default | $1,626 |
| United Healthcare | Medicaid Replacement | $1,626 |
| AmeriGroup Wellpoint | Medicaid Replacement | $1,723 |
| Washington Coordinated Care | Medicaid Replacement | $1,756 |
| Molina Healthcare of Washington MCD Rep | Medicaid Replacement | $1,758 |
| Aetna | Default | $2,109 |
| Blue Cross of WA Premera | Default | $2,184 |
| Kaiser Foundation Health Plan of the Northwest | PPO | $2,194 |
| First Choice Health Network | Default | $2,479 |
| Cigna | Default | $2,788 |
| United Healthcare | Default | $3,221 |
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