CT abdomen and pelvis with contrast at Whitman Hospital and Medical Clinics. CPT 74177.
What Whitman Hospital and Medical Clinics publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$1,988cash price (self-pay)
$2,485list price
$1,340–$2,435range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Mcaid - All Other Plans | Molina Mcaid - All Other Plans | $1,340 |
| Amerigroup Mcaid - All Plans | Amerigroup Mcaid - All Plans | $1,409 |
| Comm Hp Hlthy Options | Comm Hp Hlthy Options | $1,409 |
| Coordinated Care Mcaid - All Plans | Coordinated Care Mcaid - All Plan | $1,409 |
| UHC Mcr Adv - All Plans | UHC Mcr Adv - All Plans | $1,486 |
| Triwest/Va - All Plans | Triwest/Va - All Plans | $1,516 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,516 |
| Comm Hp Mcr | Comm Hp Mcr | $1,516 |
| Molina Mcr | Molina Mcr | $1,516 |
| Tricare/Hnfs - All Plans | Tricare/Hnfs - All Plans | $1,516 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $1,667 |
| Comm Hp Cascade Select - All Other Plans | Comm Hp Cascade Select - Al | $2,237 |
| Premera/Lifewise Comm - All Plans | Premera/Lifewise Comm - All Plans | $2,237 |
| Ambetter - All Plans | Ambetter - All Plans | $2,274 |
| Regence/Asuris/Hma - All Plans | Regence/Asuris/Hma - All Plans | $2,311 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $2,410 |
| Providr Ntwrk Of America - All Plans | Providr Ntwrk Of America - All | $2,435 |
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