CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Blue Mountain Hospital
Billing Code: 74177 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,151
about 3.2× the $356 Medicare rate · typically $251–$2,368
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $1,151 Cash price $3,554 Hospital's list price $3,554
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $2,310 | 648% |
| Blue Cross Blue Shieldmajor | $1,391 | 390% |
| Aetnamajor | $2,303 - $2,488 | 646% |
| Cignamajor | $2,488 | 698% |
| Humanamajor | $3,026 | 849% |
| SelectHealth | $3,021 | 848% |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Blue Mountain Hospital
Compare: CT scan, abdomen and pelvis (with contrast) at other UT hospitals
- Primary Children's Hospital · Salt Lake City $215
- Intermountain Health Utah Valley Hospital · Provo $321
- Holy Cross Hospital-Jordan Valley · West Jordan $337
- Intermountain Health Riverton Hospital · Riverton $342
- Holy Cross Hospital - Salt Lake · Salt Lake City $352
- Lds Hospital · Salt Lake City $352
- Intermountain Health Logan Regional Hospital · Logan $352
- American Fork Hospital · American Fork $352
Insurance negotiated median for the same procedure, sorted lowest first.