CT abdomen and pelvis with contrast at Swedish Edmonds Hospital. CPT 74177.
What Swedish Edmonds Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$317–$1,909range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Whole Health Other Commercial Plan | $317 |
| Kaiser | Medicare Managed Care Plan | $397 |
| Aetna | Medicare Managed Care - Hmo | $409 |
| Aetna | Medicare Managed Care - Ppo | $413 |
| Unitedhealthcare | Medicare Managed Care Plan | $417 |
| Humana | Choice Care Medicare Managed Care Plan | $421 |
| Blue Shield | Regence Medicare Managed Care Plan | $429 |
| Amerigroup | Medicare Managed Care Plan | $437 |
| Cigna | Medicare Managed Care Plan | $477 |
| Kaiser | All Commercial Plans | $596 |
| Community Health Plan | Cascade Care Exchange | $636 |
| Aetna | All Commercial Plans | $641 |
| Blue Cross | Premera Lifewise Exchange | $715 |
| Coordinated Care | Ambetter Exchange | $735 |
| Blue Cross | Premera Heritage Exchange | $962 |
| Blue Shield | Regence All Commercial Plans | $1,000 |
| Providence Health Plan | Signature/Choice Network Other Commercial Pla | $1,009 |
| Blue Shield | Uniform Medical Plan Exchange | $1,092 |
| Blue Cross | Premera All Commercial Plans | $1,146 |
| Cigna | All Commercial Plans | $1,197 |
| Unitedhealthcare | Aco Tiered/Doctors Plan Other Commercial Plan | $1,211 |
| Unitedhealthcare | All Commercial Plans | $1,431 |
| First Choice | Health Administrators All Commercial Plans | $1,718 |
| First Choice | All Commercial Plans | $1,909 |
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