CT abdomen and pelvis with contrast at Buena Vista Regional Medical Center. CPT 74177.
What Buena Vista Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,173cash price (self-pay)
$2,716list price
$1,439–$2,635range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPVA | Commercial | $1,439 |
| HEALTH PARTNERS | Medicare | $1,439 |
| MEDICARE COMMUNITY PLAN UHC | Medicare | $1,439 |
| MOLINA MEDICARE HEALTHCARE | Medicare | $1,439 |
| Wellcare | Medicare | $1,439 |
| AMERICAN POSTAL WORKERS | Commercial | $2,173 |
| Avera | Commercial | $2,309 |
| FIRST ADMINISTRATORS | Commercial | $2,635 |
| GOLDEN RULE | Commercial | $2,635 |
| GREAT WEST | Commercial | $2,635 |
| HEALTHSCOPE | Commercial | $2,635 |
| MEDICAL ASSOCIATES | Commercial | $2,635 |
| MERITAIN | Commercial | $2,635 |
Inpatient
$2,173cash price (self-pay)
$2,716list price
$1,439–$2,716range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPUS | Commercial | $1,439 |
| CHAMPVA | Commercial | $1,439 |
| HEALTH PARTNERS | Commercial | $1,793 |
| AMERICAN POSTAL WORKERS | Commercial | $2,173 |
| Avera | Commercial | $2,309 |
| CIGNA | Commercial | $2,444 |
| UHC | Commercial | $2,526 |
| Aetna | Commercial | $2,635 |
| FIRST ADMINISTRATORS | Commercial | $2,635 |
| GOLDEN RULE | Commercial | $2,635 |
| GREAT WEST | Commercial | $2,635 |
| HEALTHSCOPE | Commercial | $2,635 |
| MEDICAL ASSOCIATES | Commercial | $2,635 |
| MERITAIN | Commercial | $2,635 |
| MIDLANDS CHOICE | Commercial | $2,635 |
| Aetna | Medicare | $2,716 |
| Ambetter | Commercial | $2,716 |
| BLUE CROSS | Medicare | $2,716 |
| HEALTH PARTNERS | Medicare | $2,716 |
| HUMANA | Medicare | $2,716 |
| Iowa Health Advantage | Medicare | $2,716 |
| MEDICARE COMMUNITY PLAN UHC | Medicare | $2,716 |
| MOLINA MEDICARE HEALTHCARE | Medicare | $2,716 |
| UHC | Medicare | $2,716 |
| Wellcare | Medicare | $2,716 |
| Wellpoint | Medicare | $2,716 |
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