CT abdomen and pelvis with contrast at Clarke County Hospital. CPT 74177.
What Clarke County Hospital publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$1,388cash price (self-pay)
$3,452list price
$81.78–$1,813range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $270 |
| Blue Cross Medicare Blue | Medicare Advantage | $270 |
| Health Partners | Medicare Advantage | $270 |
| Humana Choice | Medicare Advantage | $270 |
| United Healthcare Medicare Solutions | Medicare Advantage | $270 |
| Wellpoint | Medicare Advantage | $270 |
| Iowa Total Care | Managed Medicaid | $307 |
| Molina Healthcare | Managed Medicaid | $307 |
| Wellpoint | Managed Medicaid | $307 |
| Wellmark | Commercial | $455 |
| United Healthcare | Commercial | $1,795 |
| Aetna Coventry | Commercial | $1,813 |
| Cigna | Commercial | $1,813 |
| Health Partners | Commercial/Self-Funded | $1,813 |
| Midlands Choice | Commercial | $1,813 |
Inpatient
$1,388cash price (self-pay)
$1,850list price
$1,684–$1,813range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial | $1,684 |
| United Healthcare | Commercial | $1,795 |
| Aetna Coventry | Commercial | $1,813 |
| Cigna | Commercial | $1,813 |
| Health Partners | Commercial/Self-Funded | $1,813 |
| Midlands Choice | Commercial | $1,813 |
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