SelfPayRates — hospital cash prices, from the source
Cash prices at 2 facilities across 2 cities for code 74177, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 6, 2026 and Jun 6, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Mary Hitchcock Memorial Hospital
LEBANON, NH CT ABD AND PELVIS CONTRAST |
$1,964.83 | $6,421.00 | 69% | — file |
|
| VALLEY REGIONAL HOSPITAL
CLAREMONT, NH CT ABD & PELVIS W/CONTRAST |
$2,435.95 | $4,429.00 | 45% | Jun 6, 2026 file |
|
| VALLEY REGIONAL HOSPITAL
CLAREMONT, NH CT ABDOMEN & PELVIS W/CONTRAST |
$2,435.95 | $4,429.00 | 45% | Jun 6, 2026 file |
Outpatient: lowest $1,964.83, median $2,435.95, highest $2,435.95 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $2,435.95. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.