CT abdomen and pelvis with contrast at Cass County Memorial Hospital. CPT 74177.
What Cass County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$2,374cash price (self-pay)
$3,392list price
$516–$3,222range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer -All Other Plans | UHC All Payer -All Other Plans | $516 |
| Midlands Choice Medica Mcr | Midlands Choice Medica Mcr | $678 |
| Wellmark HMO | Wellmark HMO | $877 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $964 |
| Triwest - All Plans | Triwest - All Plans | $1,382 |
| Medica Mcr Adv | Medica Mcr Adv | $1,425 |
| UHC Mcr Adv | UHC Mcr Adv | $1,425 |
| Va Ccn - All Plans | Va Ccn - All Plans | $1,425 |
| Aetna Coventry Mcr Adv | Aetna Coventry Mcr Adv | $1,425 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $1,425 |
| Tricare - All Plans | Tricare - All Plans | $1,425 |
| Wellmark Mcr Adv | Wellmark Mcr Adv | $1,439 |
| Iowa Total Care Mcaid | Iowa Total Care Mcaid | $1,453 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $1,453 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $1,453 |
| American Hlth Mcr Adv - All Plans | American Hlth Mcr Adv - All Plans | $1,467 |
| Amerigroup Medicaid | Amerigroup Medicaid | $1,467 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $1,567 |
| Midlands Choice New Bus | Midlands Choice New Bus | $2,205 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $2,985 |
| Midlands Choice Pho (PPO) - All Other Plans | Midlands Choice Pho (PPO | $3,053 |
| Aetna Coventry-All Other Plans | Aetna Coventry-All Other Plans | $3,222 |
| Multiplan - All Plans | Multiplan - All Plans | $3,222 |
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