Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CT ABD PELVIS W CONTRAST
West Jordan, UT
See all hospitals reporting CPT 74177 →Price type
Catholic Health Initiatives Colorado’s median price of $2.7k is 259% above the median hospital's median price ($757), higher than 85% of the 2,632 hospitals reporting CPT 74177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 43 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna managed medicaid fee schedule · outpatient | $169.54 | $169.54 | $169.54 – $169.54 |
| 2 | Molina managed medicaid fee schedule · outpatient | $169.54 | $169.54 | $169.54 – $169.54 |
| 3 | Humana managed medicare fee schedule · outpatient | $195.49 | $195.49 | $195.49 – $195.49 |
| 4 | Medicare managed medicare fee schedule · outpatient | $195.49 | $195.49 | $195.49 – $195.49 |
| 5 | Medicare medicare fee schedule · outpatient | $195.49 | $195.49 | $195.49 – $195.49 |
| 6 | Cigna commercial local plus other · inpatient | $230.49 | $230.49 | $230.49 – $230.49 |
| 7 | Cigna commercial local plus case rate · outpatient | $242.94 | $242.94 | $242.94 – $242.94 |
| 8 | Medicare medicare other · inpatient | $274.48 | $274.48 | $274.48 – $274.48 |
| 9 | Cigna commercial all other other · inpatient | $282.48 | $282.48 | $282.48 – $282.48 |
| 10 | Cigna commercial hmo/nbp/oap case rate · outpatient | $297.73 | $297.73 | $297.73 – $297.73 |
| 11 | Molina managed medicaid other · inpatient | $305.30 | $305.30 | $305.30 – $305.30 |
| 12 | Humana managed medicare other · inpatient | $328.68 | $328.68 | $328.68 – $328.68 |
| 13 | Medicare managed medicare other · inpatient | $342.37 | $342.37 | $342.37 – $342.37 |
| 14 | Aetna managed medicaid other · inpatient | $350.11 | $350.11 | $350.11 – $350.11 |
| 15 | Regence commercial par fee schedule · outpatient | $366.42 | $366.42 | $366.42 – $366.42 |
| 16 | Regence commercial ppo fee schedule · outpatient | $366.42 | $366.42 | $366.42 – $366.42 |
| 17 | Regence commercial savewell fee schedule · outpatient | $366.42 | $366.42 | $366.42 – $366.42 |
| 18 | Regence commercial uvu fee schedule · outpatient | $366.42 | $366.42 | $366.42 – $366.42 |
| 19 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $458.64 | $458.64 | $458.64 – $458.64 |
| 20 | UnitedHealthcare commercial ppo/pos/hmo case rate · outpatient | $479.70 | $479.70 | $479.70 – $479.70 |
| 21 | Cigna commercial all other case rate · outpatient | $504.64 | $504.64 | $504.64 – $504.64 |
| 22 | UnitedHealthcare commercial ppo/pos/hmo other · inpatient | $651.91 | $651.91 | $651.91 – $651.91 |
| 23 | Regence commercial savewell percent of total billed charges · inpatientfrom % of charges | $2,532 | $2,532 | $2,532 – $2,532 |
| 24 | Molina commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $2,924 | $2,924 | $2,924 – $2,924 |
| 25 | Aetna commercial peak performance percent of total billed charges · inpatientfrom % of charges | $3,008 | $3,008 | $3,008 – $3,008 |
Last updated: Feb 11, 2026
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